Kelly, Kimberly Sue
Kelly, Kimberly Sue is an sole proprietor health care provider with primary practice located at 630 S Woodruff Ave , Idaho Falls ID 83401-5299. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. Kelly, Kimberly Sue can be contacted via phone (208) 535-0505.Contact Information
Primary practice address
630 S Woodruff Ave
Idaho Falls ID 83401-5299
Phone: (208) 535-0505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X |
Profile Details
| NPI number | 1174833966 |
|---|---|
| LBN Legal business name | Kelly, Kimberly Sue |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2010 |
| Last updated | Oct 14th, 2010 - 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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