Forest, Kellylynne
Forest, Kellylynne is an individual health care provider with primary practice located at 123 Madeira Dr Se , Albuquerque NM 87108-2963. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Forest, Kellylynne can be contacted via phone (505) 262-1538.Contact Information
Primary practice address
123 Madeira Dr Se
Albuquerque NM 87108-2963
Phone: (505) 262-1538
Fax: (505) 243-5342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | T066714 | Arizona |
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | PT00013188 | New Mexico |
Profile Details
| NPI number | 1023604873 |
|---|---|
| LBN Legal business name | Forest, Kellylynne |
| Credentials | CPHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2020 |
| Last updated | Dec 16th, 2020 - 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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