Mckay, Kelly

Mckay, Kelly is an individual health care provider with primary practice located at 9649 W 55Th St , Countryside IL 60525-3632. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Mckay, Kelly can be contacted via phone (708) 352-3580.

Contact Information

Primary practice address
9649 W 55Th St Countryside IL 60525-3632
Phone: (708) 352-3580
Fax: (708) 352-2715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1578065835
LBN Legal business name Mckay, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2018
Last updated Mar 2nd, 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 1578065835 NPPES
Illinois MEDICAID 3338883552001

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