Burgess, Kelli

Burgess, Kelli is an individual health care provider with primary practice located at 178 Private Road 19423 , South Point OH 45680-8831. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Burgess, Kelli can be contacted via phone (740) 451-0741.

Contact Information

Primary practice address
178 Private Road 19423 South Point OH 45680-8831
Phone: (740) 451-0741
Fax: (740) 313-0426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1518282227
LBN Legal business name Burgess, Kelli
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2010
Last updated Nov 25th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518282227 NPPES
Kentucky MEDICAID 30610026

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