Churchill, Kelly
Churchill, Kelly is an individual health care provider with primary practice located at 788 Cherry Tree Ct , Hanover PA 17331-7901. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Churchill, Kelly can be contacted via phone (717) 632-5552.Contact Information
Primary practice address
788 Cherry Tree Ct
Hanover PA 17331-7901
Phone: (717) 632-5552
Fax: (717) 632-2315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1144467101 |
|---|---|
| LBN Legal business name | Churchill, Kelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2009 |
| Last updated | Jan 13th, 2009 - about 15 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 | 1144467101 | NPPES |
| Pennsylvania | Other | 1022393490001 | MEDICAL ASSISTANCE |
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