Kelly, Kathryn
Kelly, Kathryn is an individual health care provider with primary practice located at 291 S Lambert Rd Ste 2 , Orange CT 06477-3559. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kelly, Kathryn can be contacted via phone (475) 414-6307.Contact Information
Primary practice address
291 S Lambert Rd Ste 2
Orange CT 06477-3559
Phone: (475) 414-6307
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist | 221700000X | 53 | Connecticut |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 006241 | Connecticut |
Profile Details
NPI number | 1073282299 |
---|---|
LBN Legal business name | Kelly, Kathryn |
Credentials | LPC, CLAT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 10th, 2021 |
Last updated | Apr 17th, 2023 - about last year |
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 | 1073282299 | NPPES |
Connecticut | Other | 52 | CT DPH |
Connecticut | Other | 006241 | CT DPH |
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