Mainville, Kelly

Mainville, Kelly is an individual health care provider with primary practice located at 13305 Reeck Road , Southgate MI 48195-3197. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mainville, Kelly can be contacted via phone (734) 225-2090.

Contact Information

Primary practice address
13305 Reeck Road Southgate MI 48195-3197
Phone: (734) 225-2090
Fax: (734) 225-2091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401014254 Michigan

Profile Details

NPI number 1528415619
LBN Legal business name Mainville, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2016
Last updated May 18th, 2016 - about 10 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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