Kelly, Abesie
Kelly, Abesie is an sole proprietor health care provider with primary practice located at 20 W Southern Pines Dr , Pine Bluff AR 71603-6926. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelly, Abesie can be contacted via phone (501) 309-8401.Contact Information
Primary practice address
20 W Southern Pines Dr
Pine Bluff AR 71603-6926
Phone: (501) 309-8401
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301012809 | Michigan |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 97-11P | Arkansas |
Profile Details
NPI number | 1225193246 |
---|---|
LBN Legal business name | Kelly, Abesie |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 27th, 2006 |
Last updated | Jul 9th, 2007 - about 18 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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