Kelly, Jennifer Ann

Kelly, Jennifer Ann is an sole proprietor health care provider with primary practice located at 3801 Nw 166Th St Ste 4 , Edmond OK 73012-9279. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kelly, Jennifer Ann can be contacted via phone (405) 412-6215.

Contact Information

Primary practice address
3801 Nw 166Th St Ste 4 Edmond OK 73012-9279
Phone: (405) 412-6215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3142 Oklahoma

Profile Details

NPI number 1982007944
LBN Legal business name Kelly, Jennifer Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2014
Last updated Oct 31st, 2022 - about 4 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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