Freeman, Kelly

Freeman, Kelly is an individual health care provider with primary practice located at 518 N Generals Blvd , Lincolnton NC 28092-3500. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Freeman, Kelly can be contacted via phone (704) 748-0616.

Contact Information

Primary practice address
518 N Generals Blvd Lincolnton NC 28092-3500
Fax: (704) 240-9980
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X North Carolina

Profile Details

NPI number 1407492028
LBN Legal business name Freeman, Kelly
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2019
Last updated Nov 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407492028 NPPES
North Carolina MEDICAID 56-1677267

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