Ketz, Kelli
Ketz, Kelli is an individual health care provider with primary practice located at 101 S Eisenhower Dr , Beckley WV 25801-4929. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ketz, Kelli can be contacted via phone (304) 256-7144.Contact Information
Primary practice address
101 S Eisenhower Dr
Beckley WV 25801-4929
Phone: (304) 256-7144
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | DP00945104 | West Virginia |
Profile Details
| NPI number | 1598394546 |
|---|---|
| LBN Legal business name | Ketz, Kelli |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2020 |
| Last updated | Nov 27th, 2023 - about 3 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 | 1598394546 | NPPES |
| West Virginia | Other | DP00945104 | SOCIAL WORK LICENSE |
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