Blue, Kathelen

Blue, Kathelen is an individual health care provider with primary practice located at 137 Hospital Dr , Fort Walton Beach FL 32548-5063. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blue, Kathelen can be contacted via phone (850) 833-7400.

Contact Information

Primary practice address
137 Hospital Dr Fort Walton Beach FL 32548-5063
Phone: (850) 833-7400
Fax: (885) 083-3743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 7492 Florida

Profile Details

NPI number 1043283310
LBN Legal business name Blue, Kathelen
Credentials L.M.H.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Nov 17th, 2010 - about 15 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 1043283310 NPPES
Florida MEDICAID 766213100

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