Kadlec, Kelly E
Kadlec, Kelly E is an individual health care provider with primary practice located at 700 1St Ave S , Fargo ND 58103-1802. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalysis, which is considered as her primary health care specialty. Kadlec, Kelly E can be contacted via phone (701) 234-4111.Contact Information
Primary practice address
700 1St Ave S
Fargo ND 58103-1802
Phone: (701) 234-4111
Fax: (701) 234-4130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalysis | 103TP0814X | 349 | North Dakota |
Profile Details
| NPI number | 1750308425 |
|---|---|
| LBN Legal business name | Kadlec, Kelly E |
| Credentials | EDD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Oct 14th, 2008 - about 16 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 | 1750308425 | NPPES |
| Minnesota | MEDICAID | 266913700 | |
| Minnesota | MEDICAID | 11724 |
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