Kelly, Dustin Michael

Kelly, Dustin Michael is an individual health care provider with primary practice located at 1428 44Th St Sw , Wyoming MI 49509. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Kelly, Dustin Michael can be contacted via phone (616) 262-1114.

Contact Information

Primary practice address
1428 44Th St Sw Wyoming MI 49509
Phone: (616) 262-1114
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1144730284
LBN Legal business name Kelly, Dustin Michael
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2017
Last updated Oct 7th, 2019 - 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.

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