Bryant, Keeley

Bryant, Keeley is an individual health care provider with primary practice located at 1741 Austin St , Klamath Falls OR 97603. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Bryant, Keeley can be contacted via phone (541) 851-6156.

Contact Information

Primary practice address
1741 Austin St Klamath Falls OR 97603
Phone: (541) 851-6156
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 10212642 Oregon

Profile Details

NPI number 1508450529
LBN Legal business name Bryant, Keeley
Credentials QHMA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2021
Last updated Mar 17th, 2021 - about 4 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 1508450529 NPPES
Oregon MEDICAID 1063070779

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