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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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