Kelly, Justin

Kelly, Justin is an sole proprietor health care provider with primary practice located at 9 Windstream Ct , Radford VA 24141-3161. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Kelly, Justin can be contacted via phone (540) 250-5857.

Contact Information

Primary practice address
9 Windstream Ct Radford VA 24141-3161
Phone: (540) 250-5857
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0126001971 Virginia

Profile Details

NPI number 1720415060
LBN Legal business name Kelly, Justin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2013
Last updated Oct 1st, 2013 - 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.

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