Kelly, Sheila
Kelly, Sheila is an sole proprietor health care provider with primary practice located at 15705 Henrietta Dr , Accokeek MD 20607-2059. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Kelly, Sheila can be contacted via phone (240) 429-4969.Contact Information
Primary practice address
15705 Henrietta Dr
Accokeek MD 20607-2059
Phone: (240) 429-4969
Fax: (301) 203-9677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | DI218 | District of Columbia |
Profile Details
| NPI number | 1134588635 |
|---|---|
| LBN Legal business name | Kelly, Sheila |
| Credentials | MS,LD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2016 |
| Last updated | Feb 12th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134588635 | NPPES |
| Maryland | MEDICAID | 046790800 |
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