O'Connor, Kelly Rose

O'Connor, Kelly Rose is an individual health care provider with primary practice located at 7401 Gibbes St , Irmo SC 29063-2819. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. O'Connor, Kelly Rose can be contacted via phone (803) 476-4214.

Contact Information

Primary practice address
7401 Gibbes St Irmo SC 29063-2819
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 248040 South Carolina

Profile Details

NPI number 1083015218
LBN Legal business name O'Connor, Kelly Rose
Credentials MSED, CAS, NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2014
Last updated Sep 8th, 2014 - about 12 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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