Hickerson, Kellie
Hickerson, Kellie is an individual health care provider with primary practice located at 709 Davidson St , Tullahoma TN 37388-3607. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Hickerson, Kellie can be contacted via phone (931) 393-5927.Contact Information
Primary practice address
709 Davidson St
Tullahoma TN 37388-3607
Phone: (931) 393-5927
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1295863835 |
|---|---|
| LBN Legal business name | Hickerson, Kellie |
| Credentials | Bachelor of Social Work (BSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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