Edmundson, Kelly

Edmundson, Kelly is an sole proprietor health care provider with primary practice located at 1101 W Moana Ln Ste 2 , Reno NV 89509-4734. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Edmundson, Kelly can be contacted via phone (775) 337-2394.

Contact Information

Primary practice address
1101 W Moana Ln Ste 2 Reno NV 89509-4734
Phone: (775) 337-2394
Fax: (775) 337-9570
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X M10481 Nevada

Profile Details

NPI number 1376812776
LBN Legal business name Edmundson, Kelly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2011
Last updated Jan 8th, 2014 - about 12 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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