Boland, Kelly Minnette
Boland, Kelly Minnette is an individual health care provider with primary practice located at 1 Childrens Pl # 3N14 , Saint Louis MO 63110-1081. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Boland, Kelly Minnette can be contacted via phone (314) 454-6069.Contact Information
Primary practice address
1 Childrens Pl # 3N14
Saint Louis MO 63110-1081
Phone: (314) 454-6069
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | Missouri |
Profile Details
| NPI number | 1932835618 |
|---|---|
| LBN Legal business name | Boland, Kelly Minnette |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2022 |
| Last updated | Aug 10th, 2023 - about last year |
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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