Kelley, John Stewart
Kelley, John Stewart is an individual health care provider with primary practice located at 1949 Snowberry Ln , Joplin MO 64804-5420. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Kelley, John Stewart can be contacted via phone (417) 347-7860.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2002032316 | Missouri |
Profile Details
| NPI number | 1518007467 |
|---|---|
| LBN Legal business name | Kelley, John Stewart |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Sep 10th, 2019 - about 6 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 | 1518007467 | NPPES |
| Missouri | MEDICAID | 496111212 |
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