Connolly, Kelly Marie

Connolly, Kelly Marie is an sole proprietor health care provider with primary practice located at 10416 S Tripp Ave , Oak Lawn IL 60453-4854. 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. Connolly, Kelly Marie can be contacted via phone (708) 634-2703.

Contact Information

Primary practice address
10416 S Tripp Ave Oak Lawn IL 60453-4854
Phone: (708) 634-2703
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X 2473045 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X 2427640 Illinois

Profile Details

NPI number 1316239890
LBN Legal business name Connolly, Kelly Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2011
Last updated May 3rd, 2011 - about 13 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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