Perry, Kelly A
Perry, Kelly A is an sole proprietor health care provider with primary practice located at 5 Heidi St , Springvale ME 04083-1869. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Perry, Kelly A can be contacted via phone (207) 718-7084.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | MC10603 | Maine |
Profile Details
| NPI number | 1871502385 |
|---|---|
| LBN Legal business name | Perry, Kelly A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Mar 31st, 2021 - about 5 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 | 1871502385 | NPPES |
| Maine | MEDICAID | 329230099 |
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