Cline, Kellie Suzanne

Cline, Kellie Suzanne is an sole proprietor health care provider with primary practice located at 144 Rigrish Rd , Portsmouth OH 45662-9066. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Cline, Kellie Suzanne can be contacted via phone (740) 776-0836.

Contact Information

Primary practice address
144 Rigrish Rd Portsmouth OH 45662-9066
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN.107186 Ohio

Profile Details

NPI number 1003015546
LBN Legal business name Cline, Kellie Suzanne
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2007
Last updated Jul 14th, 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 1003015546 NPPES
Ohio MEDICAID 2294557

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