Kelly, Andrew
Kelly, Andrew is an individual health care provider with primary practice located at 13330 Bloomfield Ave Ste 101 , Norwalk CA 90650-3259. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kelly, Andrew can be contacted via phone (562) 484-3860.Contact Information
Primary practice address
13330 Bloomfield Ave Ste 101
Norwalk CA 90650-3259
Phone: (562) 484-3860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1396250981 |
|---|---|
| LBN Legal business name | Kelly, Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2017 |
| Last updated | Dec 5th, 2017 - about 7 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 | 1396250981 | NPPES |
| California | Other | 294173 | CA PT LICENSE |
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