Haag, Kelley Lynn
Haag, Kelley Lynn is an individual health care provider with primary practice located at 3100 Mountain View , Prescott Valley AZ 86314-2572. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Haag, Kelley Lynn can be contacted via phone (928) 759-7072.Contact Information
Primary practice address
3100 Mountain View
Prescott Valley AZ 86314-2572
Phone: (928) 759-7072
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1154481240 |
|---|---|
| LBN Legal business name | Haag, Kelley Lynn |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154481240 | NPPES |
| Alaska | Other | 839392 | AHCCCS |
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