Abernethy, Kelly

Abernethy, Kelly is an sole proprietor health care provider with primary practice located at 14 Otis Ave , Kittery ME 03904-1729. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Abernethy, Kelly can be contacted via phone (207) 752-1991.

Contact Information

Primary practice address
14 Otis Ave Kittery ME 03904-1729
Phone: (207) 752-1991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC6881 Maine

Profile Details

NPI number 1306179940
LBN Legal business name Abernethy, Kelly
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2009
Last updated Nov 1st, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306179940 NPPES
Maine MEDICAID 435479099

Popular Providers