Kelliher, Sandra J
Kelliher, Sandra J is an individual health care provider with primary practice located at 119 Jones St , El Dorado KS 67042-1469. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kelliher, Sandra J can be contacted via phone (800) 423-1342.Contact Information
Primary practice address
119 Jones St
El Dorado KS 67042-1469
Phone: (800) 423-1342
Fax: (785) 628-3113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 687 | Kansas |
Profile Details
| NPI number | 1811180896 |
|---|---|
| LBN Legal business name | Kelliher, Sandra J |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2007 |
| Last updated | Sep 14th, 2020 - about 5 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 | 1811180896 | NPPES |
| Kansas | MEDICAID | 200450690C |
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