Elllis, Angela Kelley

Elllis, Angela Kelley is an individual health care provider with primary practice located at 3444 Wisconsin Ave , Vicksburg MS 39180-5331. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Elllis, Angela Kelley can be contacted via phone (601) 638-0031.

Contact Information

Primary practice address
3444 Wisconsin Ave Vicksburg MS 39180-5331
Phone: (601) 638-0031
Fax: (601) 638-1778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 159347 Mississippi

Profile Details

NPI number 1457129264
LBN Legal business name Elllis, Angela Kelley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2023
Last updated Dec 12th, 2023 - about last year

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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