Slaggert, Kellye Hutton

Slaggert, Kellye Hutton is an sole proprietor health care provider with primary practice located at 18047 W Catawba Ave Ste 203 , Cornelius NC 28031-5688. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Slaggert, Kellye Hutton can be contacted via phone (704) 608-6812.

Contact Information

Primary practice address
18047 W Catawba Ave Ste 203 Cornelius NC 28031-5688
Phone: (704) 608-6812
Fax: (704) 696-7975
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 9122 North Carolina

Profile Details

NPI number 1043555725
LBN Legal business name Slaggert, Kellye Hutton
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2012
Last updated Apr 17th, 2019 - about 7 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 1043555725 NPPES
Michigan Other 6301007938 STATE OF MICHIGAN BOARD OF PSYCHOLOGY
Michigan Other LPC911 STATE OF MICHIGAN BOARD OF PSYCHOLOGY

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