Shaw, Kelli D
Shaw, Kelli D is an individual health care provider with primary practice located at 100 Warrior Drive , Ruidoso NM 88345. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Shaw, Kelli D can be contacted via phone (505) 258-4859.Contact Information
Primary practice address
100 Warrior Drive
Ruidoso NM 88345
Phone: (505) 258-4859
Fax: (505) 258-3320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 3439 | New Mexico |
Profile Details
| NPI number | 1487714382 |
|---|---|
| LBN Legal business name | Shaw, Kelli D |
| Credentials | LADAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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