Kelsey Kim, Llc

LBN: Kelsey Kim, Llc
Kelsey Kim, Llc is an health care organization with primary practice located at 2317 N Hill Field Rd Ste 103 , Layton UT 84041-4782. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Kelsey Kim, Llc can be contacted via phone (801) 900-3765, or through Barrus, Kelsey Kim via phone (801) 900-3765.

Contact Information

Primary practice address
2317 N Hill Field Rd Ste 103 Layton UT 84041-4782
Fax:
Website:
Authorized official contact:
Name: Barrus, Kelsey Kim Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 70870873501 Utah

Profile Details

NPI number 1245628866
LBN Legal business name Kelsey Kim, Llc
DBA Doing business as
Authorized official Barrus, Kelsey Kim Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2015
Last updated Jan 5th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245628866 NPPES
Utah MEDICAID 1629197447

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