Kelly, Judy
Kelly, Judy is an sole proprietor health care provider with primary practice located at 1925 E Belt Line Rd #503, Carrollton TX 75006-5801. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kelly, Judy can be contacted via phone (972) 242-3080.Contact Information
Primary practice address
1925 E Belt Line Rd #503
Carrollton TX 75006-5801
Phone: (972) 242-3080
Fax: (972) 242-2071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5277 | Texas |
Profile Details
| NPI number | 1366616211 |
|---|---|
| LBN Legal business name | Kelly, Judy |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Aug 13th, 2012 - about 12 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 | 1366616211 | NPPES |
| Texas | MEDICAID | 088403301 |
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