Amosson, Kelly J
Amosson, Kelly J is an sole proprietor health care provider with primary practice located at 3510 Kimball Ave Suite B, Waterloo IA 50702-5760. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Amosson, Kelly J can be contacted via phone (319) 236-2737.Contact Information
Primary practice address
3510 Kimball Ave Suite B
Waterloo IA 50702-5760
Phone: (319) 236-2737
Fax: (319) 236-8419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | A6072 | Iowa |
Profile Details
| NPI number | 1851583694 |
|---|---|
| LBN Legal business name | Amosson, Kelly J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2007 |
| Last updated | Aug 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851583694 | NPPES |
| Iowa | MEDICAID | 0165753 |
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