Kelly, Kylene
Kelly, Kylene is an sole proprietor health care provider with primary practice located at 23461 S Pointe Dr Ste 100 , Laguna Hills CA 92653-1523. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kelly, Kylene can be contacted via phone (949) 235-5769.Contact Information
Primary practice address
23461 S Pointe Dr Ste 100
Laguna Hills CA 92653-1523
Phone: (949) 235-5769
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY30815 | California |
Profile Details
| NPI number | 1841691029 |
|---|---|
| LBN Legal business name | Kelly, Kylene |
| Credentials | ED.D.C.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2014 |
| Last updated | Oct 13th, 2021 - about 4 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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