Kelley, Jason

Kelley, Jason is an sole proprietor health care provider with primary practice located at 697 Lousiana Drive , Dyess Afb TX 79607. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kelley, Jason can be contacted via phone (325) 696-5380.

Contact Information

Primary practice address
697 Lousiana Drive Dyess Afb TX 79607
Phone: (325) 696-5380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1457715369
LBN Legal business name Kelley, Jason
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2016
Last updated Mar 27th, 2018 - about 8 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.

Request for update

Popular Providers