Kelly, Karen Rose
Kelly, Karen Rose is an individual health care provider with primary practice located at 5955 Zeamer Ave # 673Mdg , Jber AK 99506-3702. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelly, Karen Rose can be contacted via phone (907) 551-3782.Contact Information
Primary practice address
5955 Zeamer Ave # 673Mdg
Jber AK 99506-3702
Phone: (907) 551-3782
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 109450 | Alaska |
Profile Details
| NPI number | 1861897746 |
|---|---|
| LBN Legal business name | Kelly, Karen Rose |
| Credentials | LCSW, MAC, CDCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2014 |
| Last updated | Sep 18th, 2020 - about 6 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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