Corman, Kellie D

Corman, Kellie D is an sole proprietor health care provider with primary practice located at 5843 Elliott Rd , Lake Charles LA 70605-0401. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Corman, Kellie D can be contacted via phone (337) 478-0834.

Contact Information

Primary practice address
5843 Elliott Rd Lake Charles LA 70605-0401
Phone: (337) 478-0834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X LA0232-01 Louisiana

Profile Details

NPI number 1114077476
LBN Legal business name Corman, Kellie D
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 18 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 1114077476 NPPES
Louisiana Other LA0232-01 MASSAGE THERAPY LICENSE

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