Kelly, Erin E

Kelly, Erin E is an sole proprietor health care provider with primary practice located at 20468 Coastal Hwy Suite 101, Rehoboth Beach DE 19971-8030. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Kelly, Erin E can be contacted via phone (302) 227-1320.

Contact Information

Primary practice address
20468 Coastal Hwy Suite 101 Rehoboth Beach DE 19971-8030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 7953 Pennsylvania

Profile Details

NPI number 1528331535
LBN Legal business name Kelly, Erin E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2012
Last updated Feb 22nd, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528331535 NPPES
Delaware MEDICAID 165652980

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