Gross, Kelly

Gross, Kelly is an individual health care provider with primary practice located at 1229 Lincoln Hwy , Van Wert OH 45891-1877. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gross, Kelly can be contacted via phone (419) 238-1695.

Contact Information

Primary practice address
1229 Lincoln Hwy Van Wert OH 45891-1877
Fax: (419) 238-1007
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.2304353 Ohio

Profile Details

NPI number 1487141172
LBN Legal business name Gross, Kelly
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2018
Last updated May 30th, 2024 - about last year

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 1487141172 NPPES
Ohio Other 15880621 CAQH
Ohio MEDICAID 0287459 CAQH

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