Dennis, Kelly Lane
Dennis, Kelly Lane is an sole proprietor health care provider with primary practice located at 2425 Chester Harris Rd , Woodlawn TN 37191-9054. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiography, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Technologists, Technicians & Other Technical Service Providers / Technician, Other is her primary health care specialty. Dennis, Kelly Lane can be contacted via phone (931) 552-8964.Contact Information
Primary practice address
2425 Chester Harris Rd
Woodlawn TN 37191-9054
Phone: (931) 552-8964
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Radiography | 2471C3402X | CXT0000000596 | Tennessee |
Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | CTA0000000761 | Tennessee |
Profile Details
NPI number | 1205075421 |
---|---|
LBN Legal business name | Dennis, Kelly Lane |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 11th, 2009 |
Last updated | Feb 11th, 2009 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205075421 | NPPES |
Tennessee | Other | CTA0000000761 | CHIROPRACTIC THERAPY ASSISTANT |
Tennessee | Other | CXT0000000596 | CHIROPRACTIC THERAPY ASSISTANT |
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