Gumtow, Kelly Marie

Gumtow, Kelly Marie is an sole proprietor health care provider with primary practice located at 1812 W State St , Olean NY 14760-3359. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gumtow, Kelly Marie can be contacted via phone (716) 969-2212.

Contact Information

Primary practice address
1812 W State St Olean NY 14760-3359
Phone: (716) 969-2212
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1497000665
LBN Legal business name Gumtow, Kelly Marie
Credentials MSED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2012
Last updated Jul 13th, 2012 - about 12 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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