Kelly, Carol Ann
Kelly, Carol Ann is an individual health care provider with primary practice located at 7171 Bowling Dr 300, Sacramento CA 95823-2034. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Kelly, Carol Ann can be contacted via phone (916) 875-0703.Contact Information
Primary practice address
7171 Bowling Dr 300
Sacramento CA 95823-2034
Phone: (916) 875-0703
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1578803359 |
|---|---|
| LBN Legal business name | Kelly, Carol Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2013 |
| Last updated | Feb 15th, 2013 - about 13 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 | 1578803359 | NPPES |
| California | Other | 171M0000X | 171M0000X |
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