Beverly, Kelly
Beverly, Kelly is an sole proprietor health care provider with primary practice located at 7679 Courtney Oaks Dr Apt 2088 , Fort Worth TX 76112-4628. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Beverly, Kelly can be contacted via phone (682) 287-4353.Contact Information
Primary practice address
7679 Courtney Oaks Dr Apt 2088
Fort Worth TX 76112-4628
Phone: (682) 287-4353
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X |
Profile Details
| NPI number | 1861073223 |
|---|---|
| LBN Legal business name | Beverly, Kelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2021 |
| Last updated | Apr 17th, 2021 - about 3 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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