Kelly, Corinne Nicole

Kelly, Corinne Nicole is an sole proprietor health care provider with primary practice located at 14370 Lee Hwy Ste 104 , Gainesville VA 20155-4865. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Kelly, Corinne Nicole can be contacted via phone (703) 565-4115.

Contact Information

Primary practice address
14370 Lee Hwy Ste 104 Gainesville VA 20155-4865
Phone: (703) 565-4115
Fax: (703) 754-4435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 0119007846 Virginia

Profile Details

NPI number 1467935262
LBN Legal business name Kelly, Corinne Nicole
Credentials MS, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2018
Last updated Sep 8th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467935262 NPPES
Other NONE NONE

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