Kelly, Julie A

Kelly, Julie A is an sole proprietor health care provider with primary practice located at 1803 Kepner Dr , Anchorage AK 99504-3061. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kelly, Julie A can be contacted via phone (907) 240-9544.

Contact Information

Primary practice address
1803 Kepner Dr Anchorage AK 99504-3061
Phone: (907) 240-9544
Fax: (907) 346-5437
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 904 Alaska

Profile Details

NPI number 1376605469
LBN Legal business name Kelly, Julie A
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Feb 25th, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376605469 NPPES
Alaska MEDICAID OT4736

Popular Providers