Kellems, Tiffany Lillian

Kellems, Tiffany Lillian is an sole proprietor health care provider with primary practice located at 47 Agnos Rd , Ash Flat AR 72513-9778. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Kellems, Tiffany Lillian can be contacted via phone (870) 994-3103.

Contact Information

Primary practice address
47 Agnos Rd Ash Flat AR 72513-9778
Phone: (870) 994-3103
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1326311234
LBN Legal business name Kellems, Tiffany Lillian
Credentials Certified Dental Assistant (CDA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2012
Last updated Feb 23rd, 2012 - about 13 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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