Kelly, Jennifer Jo

Kelly, Jennifer Jo is an individual health care provider with primary practice located at 803 Stubbs Ave Ste D , Monroe LA 71201. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kelly, Jennifer Jo can be contacted via phone (318) 388-8414.

Contact Information

Primary practice address
803 Stubbs Ave Ste D Monroe LA 71201
Phone: (318) 388-8414
Fax: (318) 388-8558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTT212140 Louisiana

Profile Details

NPI number 1306982046
LBN Legal business name Kelly, Jennifer Jo
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 17 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 1306982046 NPPES
Louisiana MEDICAID 1318426

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