Redkoles, Kelly

Redkoles, Kelly is an individual health care provider with primary practice located at 901 Mantua Pike Bldg A Suite 103, West Deptford NJ 08096. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Redkoles, Kelly can be contacted via phone (856) 294-6711.

Contact Information

Primary practice address
901 Mantua Pike Bldg A Suite 103 West Deptford NJ 08096
Phone: (856) 294-6711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SL05393200 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05386600 New Jersey

Profile Details

NPI number 1578786240
LBN Legal business name Redkoles, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
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.

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