Hennessy, Kelly M
Hennessy, Kelly M is an individual health care provider with primary practice located at 16606 Saddle Club Rd , Weston FL 33326-1808. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Hennessy, Kelly M can be contacted via phone (954) 660-0551.Contact Information
Primary practice address
16606 Saddle Club Rd
Weston FL 33326-1808
Phone: (954) 660-0551
Fax: (954) 660-0527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OT11129 | Florida |
Profile Details
| NPI number | 1124116520 |
|---|---|
| LBN Legal business name | Hennessy, Kelly M |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jul 9th, 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 | 1124116520 | NPPES |
| Florida | Other | Z065P | BLUE CROSS BLUE SHIELD |
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