Nelson, Kiosha

Nelson, Kiosha is an individual health care provider with primary practice located at 1323 W Colton Ave , Redlands CA 92374-4554. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Nelson, Kiosha can be contacted via phone (909) 792-0747.

Contact Information

Primary practice address
1323 W Colton Ave Redlands CA 92374-4554
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1225152275
LBN Legal business name Nelson, Kiosha
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Oct 14th, 2009 - about 17 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 1225152275 NPPES
California MEDICAID 7068
California MEDICAID 7420

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