Tyner, Kelly M

Tyner, Kelly M is an sole proprietor health care provider with primary practice located at 820 Jordan St Suite 570, Shreveport LA 71101-4518. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Tyner, Kelly M can be contacted via phone (318) 415-9437.

Contact Information

Primary practice address
820 Jordan St Suite 570 Shreveport LA 71101-4518
Phone: (318) 415-9437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT1163 Louisiana

Profile Details

NPI number 1669818985
LBN Legal business name Tyner, Kelly M
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2013
Last updated May 14th, 2013 - about 13 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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