Phillips, Kelly R.

Phillips, Kelly R. is an individual health care provider with primary practice located at 501 N Sunset Ln , Raymore MO 64083-6408. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Phillips, Kelly R. can be contacted via phone (844) 853-8937.

Contact Information

Primary practice address
501 N Sunset Ln Raymore MO 64083-6408
Phone: (844) 853-8937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 2020018075 Missouri

Profile Details

NPI number 1407453178
LBN Legal business name Phillips, Kelly R.
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2020
Last updated Nov 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407453178 NPPES
Missouri Other 2020018075 STATE LICENSE

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