Kelly, Latonya R
Kelly, Latonya R is an sole proprietor health care provider with primary practice located at 6517 Royal Oakland Dr , Indianapolis IN 46236-4805. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Kelly, Latonya R can be contacted via phone (317) 657-0510.Contact Information
Primary practice address
6517 Royal Oakland Dr
Indianapolis IN 46236-4805
Phone: (317) 657-0510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 300047703 | Indiana |
Profile Details
| NPI number | 1518545284 |
|---|---|
| LBN Legal business name | Kelly, Latonya R |
| Credentials | OWNER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2021 |
| Last updated | Apr 1st, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518545284 | NPPES |
| Indiana | MEDICAID | 300047703 |
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