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:
Health care specialties
| Specialty | Code | License # | 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 9 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 | 1083803605 | NPPES |
| Texas | Other | 1192880 | STATE LICENSE NUMBER |
| Texas | Other | 2305205166 | STATE LICENSE NUMBER |
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