Edison, Kelly Christine
Edison, Kelly Christine is an individual health care provider with primary practice located at 1301 Ks Hwy 264 , Larned KS 67550-5353. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Edison, Kelly Christine can be contacted via phone (620) 285-4647.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | T-LP 1833 | Kansas |
Profile Details
| NPI number | 1487989141 |
|---|---|
| LBN Legal business name | Edison, Kelly Christine |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2009 |
| Last updated | Oct 13th, 2009 - about 16 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 | 1487989141 | NPPES |
| Kansas | Other | T-LP 1833 | LICENSE NUMBER |
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