Kelly, Harry

Kelly, Harry is an individual health care provider with primary practice located at 236 Main Street , Mammoth Springs AR 72554. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kelly, Harry can be contacted via phone (870) 625-3228.

Contact Information

Primary practice address
236 Main Street Mammoth Springs AR 72554
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R8A66 Missouri

Profile Details

NPI number 1285705848
LBN Legal business name Kelly, Harry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 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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