Miesse, Kelli Rae
Miesse, Kelli Rae is an sole proprietor health care provider with primary practice located at 9500 E 63Rd St Ste 108 , Raytown MO 64133-4951. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Miesse, Kelli Rae can be contacted via phone (816) 960-7111.Contact Information
Primary practice address
9500 E 63Rd St Ste 108
Raytown MO 64133-4951
Phone: (816) 960-7111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2003030550 | Missouri |
Profile Details
| NPI number | 1538107370 |
|---|---|
| LBN Legal business name | Miesse, Kelli Rae |
| Credentials | M.A., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Dec 5th, 2022 - about 4 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 | 1538107370 | NPPES |
| Missouri | MEDICAID | 499095701 |
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