Kelley, Larry

Kelley, Larry is an sole proprietor health care provider with primary practice located at 6805 Ne Loop 820 Suite 408, Fort Worth TX 76180-6687. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Kelley, Larry can be contacted via phone (817) 581-7246.

Contact Information

Primary practice address
6805 Ne Loop 820 Suite 408 Fort Worth TX 76180-6687
Fax: (817) 581-7248
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1346667987
LBN Legal business name Kelley, Larry
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2014
Last updated Mar 20th, 2014 - 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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