Gifford, Kelly K
Gifford, Kelly K is an sole proprietor health care provider with primary practice located at 303 Gervais Rd , Franklin Furnace OH 45629-8742. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Addiction (Substance Use Disorder). Nursing Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Gifford, Kelly K can be contacted via phone (740) 259-7002.Contact Information
Primary practice address
303 Gervais Rd
Franklin Furnace OH 45629-8742
Phone: (740) 259-7002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | P.N. 142099 M IV | Ohio |
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 392196 | Ohio |
Profile Details
| NPI number | 1558652495 |
|---|---|
| LBN Legal business name | Gifford, Kelly K |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2011 |
| Last updated | Mar 30th, 2017 - about 9 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 | 1558652495 | NPPES |
| Ohio | Other | 392196 | OHIO BOARD OF NURSING |
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