Kelly, Kimberly
Kelly, Kimberly is an individual health care provider with primary practice located at 3180 Racquet Club Dr Ste G , Traverse City MI 49684-4797. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kelly, Kimberly can be contacted via phone (231) 933-4009.Contact Information
Primary practice address
3180 Racquet Club Dr Ste G
Traverse City MI 49684-4797
Phone: (231) 933-4009
Fax: (231) 933-4032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1447479290 |
|---|---|
| LBN Legal business name | Kelly, Kimberly |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jan 8th, 2020 - about 5 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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