Kelly, Jodi

Kelly, Jodi is an individual health care provider with primary practice located at 3910 Teays Valley Road , Hurricane WV 25526-9756. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kelly, Jodi can be contacted via phone (304) 757-7293.

Contact Information

Primary practice address
3910 Teays Valley Road Hurricane WV 25526-9756
Phone: (304) 757-7293
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001880 West Virginia

Profile Details

NPI number 1699894246
LBN Legal business name Kelly, Jodi
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jun 15th, 2009 - about 16 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 1699894246 NPPES
West Virginia MEDICAID 0007310000

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