Chillingworth, Kelly K

Chillingworth, Kelly K is an sole proprietor health care provider with primary practice located at 2330 Niagara Falls Blvd , Tonawanda NY 14150-4759. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Chillingworth, Kelly K can be contacted via phone (716) 693-9666.

Contact Information

Primary practice address
2330 Niagara Falls Blvd Tonawanda NY 14150-4759
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 048559-1 New York

Profile Details

NPI number 1285814343
LBN Legal business name Chillingworth, Kelly K
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2007
Last updated Nov 6th, 2007 - about 17 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 1285814343 NPPES
New York MEDICAID 01478871

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