Hotaling, Kelly Marie
Hotaling, Kelly Marie is an sole proprietor health care provider with primary practice located at 11650 S 73Rd St , Papillion NE 68046-1500. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Hotaling, Kelly Marie can be contacted via phone (402) 597-5056.Contact Information
Primary practice address
11650 S 73Rd St
Papillion NE 68046-1500
Phone: (402) 597-5056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | NE14372 | Nebraska |
Profile Details
| NPI number | 1770146482 |
|---|---|
| LBN Legal business name | Hotaling, Kelly Marie |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2019 |
| Last updated | Apr 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770146482 | NPPES |
| Nebraska | Other | NE14372 | LICENSE NUMBER |
| Nebraska | Other | 612165 | LICENSE NUMBER |
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