Kelly, Julie A
Kelly, Julie A is an sole proprietor health care provider with primary practice located at 1803 Kepner Dr , Anchorage AK 99504-3061. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kelly, Julie A can be contacted via phone (907) 240-9544.Contact Information
Primary practice address
1803 Kepner Dr
Anchorage AK 99504-3061
Phone: (907) 240-9544
Fax: (907) 346-5437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 904 | Alaska |
Profile Details
| NPI number | 1376605469 |
|---|---|
| LBN Legal business name | Kelly, Julie A |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Feb 25th, 2015 - about 9 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 | 1376605469 | NPPES |
| Alaska | MEDICAID | OT4736 |
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