Kelley, Breanne
Kelley, Breanne is an individual health care provider with primary practice located at 18818 Meisner Dr Ste 107 , San Antonio TX 78258-3569. She recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as her primary health care specialty. Kelley, Breanne can be contacted via phone (800) 404-6050.Contact Information
Primary practice address
18818 Meisner Dr Ste 107
San Antonio TX 78258-3569
Phone: (800) 404-6050
Fax: (866) 313-3397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | 14079 | Texas |
Profile Details
| NPI number | 1770046229 |
|---|---|
| LBN Legal business name | Kelley, Breanne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2019 |
| Last updated | Aug 31st, 2023 - about last year |
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 | 1770046229 | NPPES |
| Texas | Other | 14079 | CHIROPRACTIC LICENSE |
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