Kelley, Kristin

Kelley, Kristin is an sole proprietor health care provider with primary practice located at 1113 S Avery Dr , Moore OK 73160. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kelley, Kristin can be contacted via phone (405) 408-4605.

Contact Information

Primary practice address
1113 S Avery Dr Moore OK 73160
Phone: (405) 408-4605
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1326592650
LBN Legal business name Kelley, Kristin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2016
Last updated Aug 3rd, 2016 - about 10 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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