Kirby, Kelly Larae

Kirby, Kelly Larae is an individual health care provider with primary practice located at 1100 N College Ave , Fayetteville AR 72703-1944. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Kirby, Kelly Larae can be contacted via phone (479) 587-5919.

Contact Information

Primary practice address
1100 N College Ave Fayetteville AR 72703-1944
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 999999 Arkansas

Profile Details

NPI number 1982855649
LBN Legal business name Kirby, Kelly Larae
Credentials M.S.W., LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2008
Last updated Sep 30th, 2008 - about 16 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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