Kelly, Josephine May
Kelly, Josephine May is an sole proprietor health care provider with primary practice located at 6 Jungermann Cir Suite 203, Saint Peters MO 63376-1621. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Kelly, Josephine May can be contacted via phone (636) 939-4247.Contact Information
Primary practice address
6 Jungermann Cir Suite 203
Saint Peters MO 63376-1621
Phone: (636) 939-4247
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PYO1352 | Missouri |
Profile Details
| NPI number | 1629132519 |
|---|---|
| LBN Legal business name | Kelly, Josephine May |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629132519 | NPPES |
| Missouri | Other | 102105 | VALUE OPTIONS |
| Missouri | Other | 113437 | VALUE OPTIONS |
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