Kelly, Nicole Shavon

Kelly, Nicole Shavon is an sole proprietor health care provider with primary practice located at 11 Misty Wood Cir Apt H , Timonium MD 21093-1338. She recently has 8 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Other Service Providers / Contractor, Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Agencies / In Home Supportive Care, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Home Health Aide. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Kelly, Nicole Shavon can be contacted via phone (443) 949-2008.

Contact Information

Primary practice address
11 Misty Wood Cir Apt H Timonium MD 21093-1338
Phone: (443) 949-2008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Other Service Providers / Contractor 171W00000X
Other Service Providers / Community Health Worker 172V00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Agencies / In Home Supportive Care 253Z00000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1053849166
LBN Legal business name Kelly, Nicole Shavon
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2017
Last updated Jul 21st, 2022 - about 2 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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