Lane Selmo, Kerry E

Lane Selmo, Kerry E is an individual health care provider with primary practice located at 3090 N 3Rd Ave , Phoenix AZ 85013-4402. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Lane Selmo, Kerry E can be contacted via phone (602) 745-2932.

Contact Information

Primary practice address
3090 N 3Rd Ave Phoenix AZ 85013-4402
Phone: (602) 745-2932
Fax: (602) 745-2963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 11673 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11673 Arizona

Profile Details

NPI number 1275882383
LBN Legal business name Lane Selmo, Kerry E
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2012
Last updated Jun 11th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275882383 NPPES
Arizona MEDICAID 045576

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