Clark, Kellsy
Clark, Kellsy is an individual health care provider with primary practice located at 13101 Eastpoint Park Blvd , Louisville KY 40223-4164. 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. Clark, Kellsy can be contacted via phone (502) 253-1293.Contact Information
Primary practice address
13101 Eastpoint Park Blvd
Louisville KY 40223-4164
Phone: (502) 253-1293
Fax: (502) 245-2034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1366998494 |
|---|---|
| LBN Legal business name | Clark, Kellsy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2016 |
| Last updated | Aug 29th, 2016 - about 9 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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