Perez, Kelly

Perez, Kelly is an individual health care provider with primary practice located at 9150 Waterman Rd Apt 116 , Elk Grove CA 95624-5079. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Perez, Kelly can be contacted via phone (916) 886-6255.

Contact Information

Primary practice address
9150 Waterman Rd Apt 116 Elk Grove CA 95624-5079
Phone: (916) 886-6255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1720640394
LBN Legal business name Perez, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2019
Last updated Jul 3rd, 2019 - about 7 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 1720640394 NPPES
California Other 12345 INTERCOASTCOLLEGE

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