Kelly, Sandra S

Kelly, Sandra S is an sole proprietor health care provider with primary practice located at 13931 Northfield Blvd , Oak Park MI 48237-1505. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kelly, Sandra S can be contacted via phone (313) 926-1708.

Contact Information

Primary practice address
13931 Northfield Blvd Oak Park MI 48237-1505
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401016702 Michigan

Profile Details

NPI number 1720572134
LBN Legal business name Kelly, Sandra S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2018
Last updated Feb 1st, 2024 - about 9 months 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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