Kelly, Ky'An

Kelly, Ky'An is an individual health care provider with primary practice located at 612 Se Jackson St Ste 11 , Roseburg OR 97470-4956. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Kelly, Ky'An can be contacted via phone (541) 464-6455.

Contact Information

Primary practice address
612 Se Jackson St Ste 11 Roseburg OR 97470-4956
Phone: (541) 464-6455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1992044416
LBN Legal business name Kelly, Ky'An
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2013
Last updated Feb 4th, 2013 - about 13 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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