Koebel, Kelly Luther
Koebel, Kelly Luther is an individual health care provider with primary practice located at 24 Clay St , Martinsville VA 24112-2810. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Koebel, Kelly Luther can be contacted via phone (276) 632-7128.Contact Information
Primary practice address
24 Clay St
Martinsville VA 24112-2810
Phone: (276) 632-7128
Fax: (276) 632-0127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701004759 | Virginia |
Profile Details
| NPI number | 1164753935 |
|---|---|
| LBN Legal business name | Koebel, Kelly Luther |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2010 |
| Last updated | Feb 20th, 2024 - about 2 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 | 1164753935 | NPPES |
| Virginia | MEDICAID | 004945221 |
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