Flick, Kelly Diane
Flick, Kelly Diane is an individual health care provider with primary practice located at 1575 S Washington St , Crawfordsville IN 47933. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Flick, Kelly Diane can be contacted via phone (765) 230-3539.Contact Information
Primary practice address
1575 S Washington St
Crawfordsville IN 47933
Phone: (765) 230-3539
Fax: (765) 267-2156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05007005A | Indiana |
Profile Details
| NPI number | 1316026990 |
|---|---|
| LBN Legal business name | Flick, Kelly Diane |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Oct 11th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316026990 | NPPES |
| Indiana | MEDICAID | 200326490 | |
| Indiana | Other | 00000017528 |
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