Harrold, Kelly Richard
Harrold, Kelly Richard is an individual health care provider with primary practice located at 120 E 5Th St , Tipton IA 52772-1731. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Harrold, Kelly Richard can be contacted via phone (563) 886-3421.Contact Information
Primary practice address
120 E 5Th St
Tipton IA 52772-1731
Phone: (563) 886-3421
Fax: (563) 886-2083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 004537 | Iowa |
Profile Details
| NPI number | 1831419365 |
|---|---|
| LBN Legal business name | Harrold, Kelly Richard |
| Credentials | LPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2010 |
| Last updated | Jun 7th, 2010 - about 16 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 | 1831419365 | NPPES |
| Iowa | MEDICAID | 0665463 |
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