Heironimus, Kelly M
Heironimus, Kelly M is an individual health care provider with primary practice located at 760 Plantation Blvd , Sikeston MO 63801-5736. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Heironimus, Kelly M can be contacted via phone (573) 471-0800.Contact Information
Primary practice address
760 Plantation Blvd
Sikeston MO 63801-5736
Phone: (573) 471-0800
Fax: (573) 471-0810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2012035820 | Missouri |
Profile Details
| NPI number | 1003155243 |
|---|---|
| LBN Legal business name | Heironimus, Kelly M |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2013 |
| Last updated | Feb 7th, 2013 - about 13 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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