Lim, Kelly Su

Lim, Kelly Su is an sole proprietor health care provider with primary practice located at 65 Memorial Rd Suite 410, West Hartford CT 06107-2434. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Lim, Kelly Su can be contacted via phone (860) 368-1648.

Contact Information

Primary practice address
65 Memorial Rd Suite 410 West Hartford CT 06107-2434
Phone: (860) 368-1648
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 6200 Connecticut

Profile Details

NPI number 1932313863
LBN Legal business name Lim, Kelly Su
Credentials LMT, CLT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2007
Last updated Mar 23rd, 2013 - about 13 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 1932313863 NPPES
Colorado Other 1856 STATE OF COLORADO MASSAGE THERAPY LICENSE

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