Black, Kelli

Black, Kelli is an individual health care provider with primary practice located at 701 Sunset Hills Dr , Macon MO 63552-2165. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Black, Kelli can be contacted via phone (660) 385-3113.

Contact Information

Primary practice address
701 Sunset Hills Dr Macon MO 63552-2165
Phone: (660) 385-3113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2019042022 Missouri

Profile Details

NPI number 1578186763
LBN Legal business name Black, Kelli
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2020
Last updated May 21st, 2020 - about 5 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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