Kelly, John
Kelly, John is an sole proprietor health care provider with primary practice located at 4550 Lantana Road Suite A4, Lake Worth FL 33463. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Kelly, John can be contacted via phone (561) 340-7259.Contact Information
Primary practice address
4550 Lantana Road Suite A4
Lake Worth FL 33463
Phone: (561) 340-7259
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 3217 | Florida |
Profile Details
| NPI number | 1508135252 |
|---|---|
| LBN Legal business name | Kelly, John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2011 |
| Last updated | Dec 27th, 2011 - about 13 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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