Jennings, Kelly

Jennings, Kelly is an individual health care provider with primary practice located at 858 S Duncan Dr , Tavares FL 32778-4044. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jennings, Kelly can be contacted via phone (352) 609-5103.

Contact Information

Primary practice address
858 S Duncan Dr Tavares FL 32778-4044
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH21536 Florida

Profile Details

NPI number 1043923147
LBN Legal business name Jennings, Kelly
Credentials MH 21536
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2023
Last updated Jul 8th, 2024 - about 2 months 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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