Kelm, Lisa

Kelm, Lisa is an individual health care provider with primary practice located at 743 Country Club Rd , Eugene OR 97401-6019. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Kelm, Lisa can be contacted via phone (541) 349-0074.

Contact Information

Primary practice address
743 Country Club Rd Eugene OR 97401-6019
Phone: (541) 349-0074
Fax: (541) 683-5206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X

Profile Details

NPI number 1811039605
LBN Legal business name Kelm, Lisa
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jun 18th, 2012 - 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 1811039605 NPPES
Oregon MEDICAID 240520
Oregon Other 800895103
Oregon Other 838406003

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