Keller, Kyle

Keller, Kyle is an individual health care provider with primary practice located at 289 Independence Blvd Ste 312, Virginia Beach VA 23462-5493. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Keller, Kyle can be contacted via phone (757) 385-0684.

Contact Information

Primary practice address
289 Independence Blvd Ste 312 Virginia Beach VA 23462-5493
Phone: (757) 385-0684
Fax: (757) 493-5456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701006101 Virginia

Profile Details

NPI number 1912389909
LBN Legal business name Keller, Kyle
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2015
Last updated Jun 25th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912389909 NPPES
Virginia MEDICAID 1861562472

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