Gifford, Kelly K

Gifford, Kelly K is an sole proprietor health care provider with primary practice located at 303 Gervais Rd , Franklin Furnace OH 45629-8742. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Addiction (Substance Use Disorder). Nursing Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Gifford, Kelly K can be contacted via phone (740) 259-7002.

Contact Information

Primary practice address
303 Gervais Rd Franklin Furnace OH 45629-8742
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X P.N. 142099 M IV Ohio
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 392196 Ohio

Profile Details

NPI number 1558652495
LBN Legal business name Gifford, Kelly K
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2011
Last updated Mar 30th, 2017 - about 7 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 1558652495 NPPES
Ohio Other 392196 OHIO BOARD OF NURSING

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