Finn, Kelly Michael

Finn, Kelly Michael is an sole proprietor health care provider with primary practice located at 5022 N 54Th Ave Ste 4 , Glendale AZ 85301-7531. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Finn, Kelly Michael can be contacted via phone (623) 931-4343.

Contact Information

Primary practice address
5022 N 54Th Ave Ste 4 Glendale AZ 85301-7531
Phone: (623) 931-4343
Fax: (623) 939-3476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-10886 Arizona

Profile Details

NPI number 1083886642
LBN Legal business name Finn, Kelly Michael
Credentials MSW, LISAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2008
Last updated Mar 24th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083886642 NPPES
Arizona Other 600248032 MAGELLAN PROVIDER ID NUMB

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