Daniel, Kelly R

Daniel, Kelly R is an individual health care provider with primary practice located at 1115 20Th St Suite 205, Huntington WV 25703-2071. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Daniel, Kelly R can be contacted via phone (304) 691-1500.

Contact Information

Primary practice address
1115 20Th St Suite 205 Huntington WV 25703-2071
Phone: (304) 691-1500
Fax: (304) 523-4358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 809 West Virginia

Profile Details

NPI number 1619938800
LBN Legal business name Daniel, Kelly R
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Nov 1st, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619938800 NPPES
West Virginia MEDICAID 9202134000
West Virginia MEDICAID 2372212

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