Kelly, Kassandra
Kelly, Kassandra is an sole proprietor health care provider with primary practice located at 306B Granade St , Statesboro GA 30458-2058. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Kelly, Kassandra can be contacted via phone (912) 478-7582.Contact Information
Primary practice address
306B Granade St
Statesboro GA 30458-2058
Phone: (912) 478-7582
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT001674 | Georgia |
Profile Details
| NPI number | 1023407111 |
|---|---|
| LBN Legal business name | Kelly, Kassandra |
| Credentials | ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2015 |
| Last updated | Jan 13th, 2015 - about 10 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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