Anderson, Kay Kelly

Anderson, Kay Kelly is an individual health care provider with primary practice located at 1995 Winchester Road , Winchester ID 83555. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Anderson, Kay Kelly can be contacted via phone (208) 791-8544.

Contact Information

Primary practice address
1995 Winchester Road Winchester ID 83555
Phone: (208) 791-8544
Fax: (208) 743-5358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC2976 Idaho
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT2977 Idaho

Profile Details

NPI number 1013135946
LBN Legal business name Anderson, Kay Kelly
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jun 8th, 2020 - about 4 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 1013135946 NPPES
Idaho MEDICAID 807346100
Idaho MEDICAID 806910400
Idaho MEDICAID 806984800
Idaho MEDICAID 807384700
Idaho MEDICAID 806983200

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