Clark, Kelly
Clark, Kelly is an sole proprietor health care provider with primary practice located at 2301 E Chambers Dr , Booneville MS 38829-8903. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clark, Kelly can be contacted via phone (662) 728-3154.Contact Information
Primary practice address
2301 E Chambers Dr
Booneville MS 38829-8903
Phone: (662) 728-3154
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | BS DEGREE | Mississippi |
Profile Details
| NPI number | 1942605852 |
|---|---|
| LBN Legal business name | Clark, Kelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2014 |
| Last updated | Nov 4th, 2014 - about 10 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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