Burns, Kelli Dawn
Burns, Kelli Dawn is an sole proprietor health care provider with primary practice located at 1045 Klotz Rd , Bowling Green OH 43402-4820. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Burns, Kelli Dawn can be contacted via phone (419) 352-7588.Contact Information
Primary practice address
1045 Klotz Rd
Bowling Green OH 43402-4820
Phone: (419) 352-7588
Fax: (419) 354-4977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C0008147 | Ohio |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | E.1800918 | Ohio |
Profile Details
| NPI number | 1043502685 |
|---|---|
| LBN Legal business name | Burns, Kelli Dawn |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2011 |
| Last updated | Nov 1st, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043502685 | NPPES |
| Ohio | Other | C0008147 | STATE OF OHIO COUNSELOR AND SOCIAL WORKER BOARD |
| Ohio | Other | E.1800918 | STATE OF OHIO COUNSELOR AND SOCIAL WORKER BOARD |
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