Stanek, Kelly M

Stanek, Kelly M is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Stanek, Kelly M can be contacted via phone (706) 721-4581.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (706) 721-4581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY004125 Georgia
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3375-057 Wisconsin

Profile Details

NPI number 1063862639
LBN Legal business name Stanek, Kelly M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2016
Last updated Aug 4th, 2023 - about 3 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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