Emmans-Ort, Kelli Lyn

Emmans-Ort, Kelli Lyn is an sole proprietor health care provider with primary practice located at 223 Harrison Ave , Leadville CO 80461-3392. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Emmans-Ort, Kelli Lyn can be contacted via phone (970) 668-4043.

Contact Information

Primary practice address
223 Harrison Ave Leadville CO 80461-3392
Phone: (970) 668-4043
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH002024634
Dental Providers / Dental Hygienist 124Q00000X Colorado

Profile Details

NPI number 1477210805
LBN Legal business name Emmans-Ort, Kelli Lyn
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2021
Last updated Nov 19th, 2021 - about 4 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 1477210805 NPPES
Colorado MEDICAID 10001110101

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