Bushore, Kelly Lee
Bushore, Kelly Lee is an individual health care provider with primary practice located at 401 Rte 36 South , Roaring Spring PA 16673. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bushore, Kelly Lee can be contacted via phone (814) 224-5566.Contact Information
Primary practice address
401 Rte 36 South
Roaring Spring PA 16673
Phone: (814) 224-5566
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT015724 | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | DAPT000019 | Pennsylvania |
Profile Details
| NPI number | 1194708115 |
|---|---|
| LBN Legal business name | Bushore, Kelly Lee |
| Credentials | PHYSICAL THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1194708115 | NPPES |
| Pennsylvania | Other | 1438404 | HIGHMARK |
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