Kirby, Kelly C

Kirby, Kelly C is an sole proprietor health care provider with primary practice located at 577 Huff St Suite 1B, Winona MN 55987-3330. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kirby, Kelly C can be contacted via phone (507) 358-4380.

Contact Information

Primary practice address
577 Huff St Suite 1B Winona MN 55987-3330
Phone: (507) 358-4380
Fax: (320) 323-4616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC00277 Minnesota

Profile Details

NPI number 1972759512
LBN Legal business name Kirby, Kelly C
Credentials MS, LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2008
Last updated Nov 30th, 2011 - about 13 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 1972759512 NPPES
Minnesota Other 150913 UCARE
Minnesota MEDICAID 256057700 UCARE
Minnesota Other 3H671EI UCARE
Minnesota Other 6212367 UCARE

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