Alcorn, Kelly M
Alcorn, Kelly M is an sole proprietor health care provider with primary practice located at 6611 Jefferson St Ste 304 , Haymarket VA 20169-4902. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Alcorn, Kelly M can be contacted via phone (858) 761-3133.Contact Information
Primary practice address
6611 Jefferson St Ste 304
Haymarket VA 20169-4902
Phone: (858) 761-3133
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904008175 | Virginia |
Profile Details
NPI number | 1114268091 |
---|---|
LBN Legal business name | Alcorn, Kelly M |
Credentials | LSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 2nd, 2013 |
Last updated | Mar 2nd, 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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