Green, Kelly Elaine
Green, Kelly Elaine is an sole proprietor health care provider with primary practice located at 1604 S W S Young Dr , Killeen TX 76543-5003. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Green, Kelly Elaine can be contacted via phone (254) 699-9023.Contact Information
Primary practice address
1604 S W S Young Dr
Killeen TX 76543-5003
Phone: (254) 699-9023
Fax: (254) 690-9013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 17978 | Texas |
Profile Details
| NPI number | 1801803572 |
|---|---|
| LBN Legal business name | Green, Kelly Elaine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| 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.
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