Green, Kelly Mike
Green, Kelly Mike is an sole proprietor health care provider with primary practice located at Lds Family Services 630 W Price River Dr., Price UT 84501. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Green, Kelly Mike can be contacted via phone (435) 637-2991.Contact Information
Primary practice address
Lds Family Services 630 W Price River Dr.
Price UT 84501
Phone: (435) 637-2991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 130900-3501 | Utah |
Profile Details
| NPI number | 1316169915 |
|---|---|
| LBN Legal business name | Green, Kelly Mike |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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