Vinehout, Kelly

Vinehout, Kelly is an sole proprietor health care provider with primary practice located at 1090 Mcconnell Rd , Woodstock IL 60098-7310. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vinehout, Kelly can be contacted via phone (815) 245-6669.

Contact Information

Primary practice address
1090 Mcconnell Rd Woodstock IL 60098-7310
Phone: (815) 245-6669
Fax: (815) 334-1640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071006683 Illinois

Profile Details

NPI number 1134263999
LBN Legal business name Vinehout, Kelly
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Aug 31st, 2015 - about 11 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 1134263999 NPPES
Illinois Other 11894012 CAQH
Illinois Other 05632205 CAQH
Illinois Other 600016119 CAQH
Illinois Other 2201382 CAQH

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