Kelley, Jerri

Kelley, Jerri is an sole proprietor health care provider with primary practice located at 30 S 4Th St , Newark OH 43055-5002. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Kelley, Jerri can be contacted via phone (380) 201-1313.

Contact Information

Primary practice address
30 S 4Th St Newark OH 43055-5002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.161703 Ohio

Profile Details

NPI number 1871029710
LBN Legal business name Kelley, Jerri
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2017
Last updated Mar 17th, 2024 - about 9 months 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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