Dortch, Kelly L

Dortch, Kelly L is an sole proprietor health care provider with primary practice located at 100 Wimbledon Sq , Chesapeake VA 23320-4931. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dortch, Kelly L can be contacted via phone (757) 547-5145.

Contact Information

Primary practice address
100 Wimbledon Sq Chesapeake VA 23320-4931
Phone: (757) 547-5145
Fax: (757) 436-2480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305205166 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1192880 Texas

Profile Details

NPI number 1083803605
LBN Legal business name Dortch, Kelly L
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2007
Last updated Mar 23rd, 2015 - about 10 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 1083803605 NPPES
Texas Other 1192880 STATE LICENSE NUMBER
Texas Other 2305205166 STATE LICENSE NUMBER

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