Andaloro, Kelly

Andaloro, Kelly is an sole proprietor health care provider with primary practice located at 3504 Industrial Ave Suite 220, Fairbanks AK 99701-7376. 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. Andaloro, Kelly can be contacted via phone (907) 388-3221.

Contact Information

Primary practice address
3504 Industrial Ave Suite 220 Fairbanks AK 99701-7376
Phone: (907) 388-3221
Fax: (907) 459-8201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2139 Alaska

Profile Details

NPI number 1609179399
LBN Legal business name Andaloro, Kelly
Credentials CDCII
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2010
Last updated Jan 5th, 2011 - about 13 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 1609179399 NPPES
Alaska Other 2139 ALASKA COMMISSION FOR BEHAVIORAL HEALTH CERTIFICATION

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