Crumpler, Kelley Champ
Crumpler, Kelley Champ is an sole proprietor health care provider with primary practice located at 4508 Mills Park Cir Ste 100 , College Station TX 77845-1100. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Crumpler, Kelley Champ can be contacted via phone (979) 402-3714.Contact Information
Primary practice address
4508 Mills Park Cir Ste 100
College Station TX 77845-1100
Phone: (979) 402-3714
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | 195614 | Texas |
Profile Details
| NPI number | 1629544630 |
|---|---|
| LBN Legal business name | Crumpler, Kelley Champ |
| Credentials | Licensed Visiting Nurse (LVN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2018 |
| Last updated | Oct 17th, 2018 - about 6 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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