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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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