Tibbetts, Kelly Jean
Tibbetts, Kelly Jean is an sole proprietor health care provider with primary practice located at 4154 Shoreline Dr Ste 202 , Spring Park MN 55384-5610. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tibbetts, Kelly Jean can be contacted via phone (952) 491-9450.Contact Information
Primary practice address
4154 Shoreline Dr Ste 202
Spring Park MN 55384-5610
Phone: (952) 491-9450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 22636 | Minnesota |
Profile Details
| NPI number | 1992350367 |
|---|---|
| LBN Legal business name | Tibbetts, Kelly Jean |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2019 |
| Last updated | Jun 6th, 2025 - about last year |
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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