Kelley, Carolyn
Kelley, Carolyn is an sole proprietor health care provider with primary practice located at 110 Roach St , Georgetown KY 40324-9393. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Kelley, Carolyn can be contacted via phone (502) 863-4734.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1255766333 |
|---|---|
| LBN Legal business name | Kelley, Carolyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2013 |
| Last updated | Nov 26th, 2014 - about 10 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 | 1255766333 | NPPES |
| Kentucky | MEDICAID | 1790731081 |
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