Kelley, Kimberly Theresa

Kelley, Kimberly Theresa is an individual health care provider with primary practice located at 36 Cordage Park Cir , Plymouth MA 02360-7331. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kelley, Kimberly Theresa can be contacted via phone (508) 830-3444.

Contact Information

Primary practice address
36 Cordage Park Cir Plymouth MA 02360-7331
Phone: (508) 830-3444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1316232143
LBN Legal business name Kelley, Kimberly Theresa
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2011
Last updated Sep 19th, 2013 - about 11 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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