Kettlewell, Kelly Dae
Kettlewell, Kelly Dae is an sole proprietor health care provider with primary practice located at 49 E 4Th St Ste 205 , Williamsport PA 17701-6355. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Kettlewell, Kelly Dae can be contacted via phone (570) 601-4788.Contact Information
Primary practice address
49 E 4Th St Ste 205
Williamsport PA 17701-6355
Phone: (570) 601-4788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PS017216 | Pennsylvania |
Profile Details
| NPI number | 1285389544 |
|---|---|
| LBN Legal business name | Kettlewell, Kelly Dae |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2022 |
| Last updated | Feb 8th, 2023 - about 3 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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