Shively, Kelly Lorraine

Shively, Kelly Lorraine is an individual health care provider with primary practice located at 1738 S Martinson , Wichita KS 67213-5799. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Shively, Kelly Lorraine can be contacted via phone (316) 293-9547.

Contact Information

Primary practice address
1738 S Martinson Wichita KS 67213-5799
Phone: (316) 293-9547
Fax: (316) 691-8473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1942 Kansas

Profile Details

NPI number 1255524229
LBN Legal business name Shively, Kelly Lorraine
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2007
Last updated Sep 5th, 2012 - about 14 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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