Cardoza, Kellie L
Cardoza, Kellie L is an individual health care provider with primary practice located at 6148 W Frier Dr , Glendale AZ 85301-1223. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Cardoza, Kellie L can be contacted via phone (315) 955-0170.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X |
Profile Details
NPI number | 1669072161 |
---|---|
LBN Legal business name | Cardoza, Kellie L |
Credentials | BHT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2020 |
Last updated | Oct 26th, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669072161 | NPPES |
Arizona | MEDICAID | 7777777 |
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