Aguirre, Kelly Jean

Aguirre, Kelly Jean is an individual health care provider with primary practice located at 502 N Carver St , Midland TX 79701-3634. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Aguirre, Kelly Jean can be contacted via phone (432) 570-3390.

Contact Information

Primary practice address
502 N Carver St Midland TX 79701-3634
Phone: (432) 570-3390
Fax: (432) 570-3375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10721 Texas

Profile Details

NPI number 1386073708
LBN Legal business name Aguirre, Kelly Jean
Credentials LCDC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2013
Last updated Nov 6th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386073708 NPPES
Texas MEDICAID 213673100

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