Kelly, Mary Eileen
Kelly, Mary Eileen is an individual health care provider with primary practice located at 1090 Arnold Dr , Little Rock Afb AR 72099-4933. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kelly, Mary Eileen can be contacted via phone (501) 987-7304.Contact Information
Primary practice address
1090 Arnold Dr
Little Rock Afb AR 72099-4933
Phone: (501) 987-7304
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH16312 | Florida |
| Dental Providers / Dental Hygienist | 124Q00000X | 3151 | Arkansas |
Profile Details
| NPI number | 1033867924 |
|---|---|
| LBN Legal business name | Kelly, Mary Eileen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2022 |
| Last updated | May 4th, 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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