Kelly-Luken, Martha

Kelly-Luken, Martha is an sole proprietor health care provider with primary practice located at 7108 Werner St , San Diego CA 92122-2832. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Kelly-Luken, Martha can be contacted via phone (858) 518-8667.

Contact Information

Primary practice address
7108 Werner St San Diego CA 92122-2832
Phone: (858) 518-8667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 374602460 California

Profile Details

NPI number 1255732178
LBN Legal business name Kelly-Luken, Martha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2014
Last updated Sep 10th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255732178 NPPES
California Other 310400000X RESIDENTIAL CARE FACILITY FOR THE ELDERLY

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