Kelly, Kimberly

Kelly, Kimberly is an individual health care provider with primary practice located at 1400 Hudson St , Elkhart IN 46516-2023. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kelly, Kimberly can be contacted via phone (574) 522-6702.

Contact Information

Primary practice address
1400 Hudson St Elkhart IN 46516-2023
Phone: (574) 522-6702
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 13003438A Indiana

Profile Details

NPI number 1780328427
LBN Legal business name Kelly, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2022
Last updated Apr 27th, 2022 - about 3 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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