Earnst, Kelly S

Earnst, Kelly S is an individual health care provider with primary practice located at 1415 Salem St Suite 102, Lafayette IN 47904-4100. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Earnst, Kelly S can be contacted via phone (765) 742-1816.

Contact Information

Primary practice address
1415 Salem St Suite 102 Lafayette IN 47904-4100
Phone: (765) 742-1816
Fax: (765) 742-2557
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20041614A

Profile Details

NPI number 1104900489
LBN Legal business name Earnst, Kelly S
Credentials PH.D, HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jun 27th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104900489 NPPES
Indiana MEDICAID 200283610A

Popular Providers