Burris, Kelly A

Burris, Kelly A is an sole proprietor health care provider with primary practice located at 213 E Chestnut St , Mount Vernon OH 43050-3404. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Burris, Kelly A can be contacted via phone (740) 326-1811.

Contact Information

Primary practice address
213 E Chestnut St Mount Vernon OH 43050-3404
Phone: (740) 326-1811
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.176571 Ohio

Profile Details

NPI number 1386290492
LBN Legal business name Burris, Kelly A
Credentials CMS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2019
Last updated May 3rd, 2021 - about 3 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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