Kelly, Sherry J

Kelly, Sherry J is an individual health care provider with primary practice located at 7112 Deer Ridge Rd , Fairview TN 37062-8908. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as her primary health care specialty. Kelly, Sherry J can be contacted via phone (309) 738-6481.

Contact Information

Primary practice address
7112 Deer Ridge Rd Fairview TN 37062-8908
Phone: (309) 738-6481
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X 2671

Profile Details

NPI number 1467058156
LBN Legal business name Kelly, Sherry J
Credentials CNIM
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2020
Last updated Dec 8th, 2020 - about 4 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 1467058156 NPPES
Other 2671 CNIM
Other 3287 CNIM
Other 919 CNIM

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