Valk, Kelly

Valk, Kelly is an individual health care provider with primary practice located at 5147 S Lakeland Dr Suite 4, Lakeland FL 33813-2610. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Valk, Kelly can be contacted via phone (863) 825-5277.

Contact Information

Primary practice address
5147 S Lakeland Dr Suite 4 Lakeland FL 33813-2610
Phone: (863) 825-5277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH 8369 Florida
Behavioral Health & Social Service Providers / Counselor 101Y00000X IMH 8369 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH14567 Florida

Profile Details

NPI number 1518253897
LBN Legal business name Valk, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2011
Last updated Jan 27th, 2017 - about 9 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 1518253897 NPPES
Florida MEDICAID 679096896-67

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