Frey, Kelli Susan
Frey, Kelli Susan is an sole proprietor health care provider with primary practice located at 11501 W 113Th St , Overland Park KS 66210-2751. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Frey, Kelli Susan can be contacted via phone (913) 638-8512.Contact Information
Primary practice address
11501 W 113Th St
Overland Park KS 66210-2751
Phone: (913) 638-8512
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 002354 | Missouri |
| Other Service Providers / Contractor | 171W00000X | 17-00806 | Kansas |
Profile Details
| NPI number | 1356544050 |
|---|---|
| LBN Legal business name | Frey, Kelli Susan |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356544050 | NPPES |
| Kansas | Other | 17-00806 | O.T. STATE LICENSE |
| Kansas | Other | 002354 | O.T. STATE LICENSE |
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