Eastin, Kelly Suzanne

Eastin, Kelly Suzanne is an individual health care provider with primary practice located at 5406 Merle Hay Rd , Johnston IA 50131-1209. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Eastin, Kelly Suzanne can be contacted via phone (515) 272-8750.

Contact Information

Primary practice address
5406 Merle Hay Rd Johnston IA 50131-1209
Phone: (515) 272-8750
Fax: (515) 727-8757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 01613 Iowa

Profile Details

NPI number 1356560262
LBN Legal business name Eastin, Kelly Suzanne
Credentials MS, OTR-L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jul 8th, 2007 - about 19 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 1356560262 NPPES
Iowa Other 36918 WELLMARK BCBS

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