Kelly, Christopher Carr

Kelly, Christopher Carr is an sole proprietor health care provider with primary practice located at 1601 Sw Archer Rd , Gainesville FL 32608-1197. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kelly, Christopher Carr can be contacted via phone (352) 376-1611.

Contact Information

Primary practice address
1601 Sw Archer Rd Gainesville FL 32608-1197
Phone: (352) 376-1611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW7406 Florida

Profile Details

NPI number 1497876130
LBN Legal business name Kelly, Christopher Carr
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Dec 3rd, 2018 - about 7 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 1497876130 NPPES
Florida MEDICAID 001499-07

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