Anderson, Kelly Elizabeth

Anderson, Kelly Elizabeth is an sole proprietor health care provider with primary practice located at 140 Mall Blvd , Lakewood NY 14750-2014. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Anderson, Kelly Elizabeth can be contacted via phone (716) 763-9070.

Contact Information

Primary practice address
140 Mall Blvd Lakewood NY 14750-2014
Phone: (716) 763-9070
Fax: (716) 763-3580
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1619230455
LBN Legal business name Anderson, Kelly Elizabeth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2012
Last updated Jun 18th, 2012 - 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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