King, Kellie
King, Kellie is an sole proprietor health care provider with primary practice located at 90 Hope Dr Bldg 6000 , Mountain Home Afb ID 83648-1062. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. King, Kellie can be contacted via phone (208) 828-7580.Contact Information
Primary practice address
90 Hope Dr Bldg 6000
Mountain Home Afb ID 83648-1062
Phone: (208) 828-7580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | IC-1164 | Nevada |
Profile Details
| NPI number | 1780199828 |
|---|---|
| LBN Legal business name | King, Kellie |
| Credentials | CSW-INTERN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2017 |
| Last updated | Jul 12th, 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.
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