Hughes, Keely Kelly

Hughes, Keely Kelly is an individual health care provider with primary practice located at 4455 Ne Highway 20 , Corvallis OR 97330-9695. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Hughes, Keely Kelly can be contacted via phone (541) 757-1852.

Contact Information

Primary practice address
4455 Ne Highway 20 Corvallis OR 97330-9695
Phone: (541) 757-1852
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1629413448
LBN Legal business name Hughes, Keely Kelly
Credentials QMHA, BS
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2013
Last updated Nov 22nd, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629413448 NPPES
Oregon MEDICAID 1629413448

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