Kelly, Kevin M

Kelly, Kevin M is an sole proprietor health care provider with primary practice located at 951 Niagara Street Drug & Alcohol Abuse Service Program, Buffalo NY 14213. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kelly, Kevin M can be contacted via phone (716) 883-5344.

Contact Information

Primary practice address
951 Niagara Street Drug & Alcohol Abuse Service Program Buffalo NY 14213
Phone: (716) 883-5344
Fax: (716) 884-1758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 065920-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 078200-1 New York

Profile Details

NPI number 1740330992
LBN Legal business name Kelly, Kevin M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jan 5th, 2011 - about 13 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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