Kelly, Susan Jean

Kelly, Susan Jean is an sole proprietor health care provider with primary practice located at 326 8Th Street , Hugo CO 80821. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Kelly, Susan Jean can be contacted via phone (719) 743-2526.

Contact Information

Primary practice address
326 8Th Street Hugo CO 80821
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 63693 Colorado

Profile Details

NPI number 1326313446
LBN Legal business name Kelly, Susan Jean
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2012
Last updated Aug 1st, 2013 - about 12 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 1326313446 NPPES
Colorado Other 1013048495 NPPES

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