Kelly, Kathleen J

Kelly, Kathleen J is an individual health care provider with primary practice located at 1701 Ne 42Nd Ave Ste 102, Ocala FL 34470. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelly, Kathleen J can be contacted via phone (352) 351-4940.

Contact Information

Primary practice address
1701 Ne 42Nd Ave Ste 102 Ocala FL 34470
Phone: (352) 351-4940
Fax: (352) 351-8902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY7221 Florida

Profile Details

NPI number 1053334151
LBN Legal business name Kelly, Kathleen J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1053334151 NPPES
Florida Other 75334 BLUE CROSS BLUE SHIELD

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