Lackey, Kelly Corinne

Lackey, Kelly Corinne is an sole proprietor health care provider with primary practice located at 4148 Oxford Middletown Rd , Trenton OH 45067-9693. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Lackey, Kelly Corinne can be contacted via phone (513) 312-1935.

Contact Information

Primary practice address
4148 Oxford Middletown Rd Trenton OH 45067-9693
Phone: (513) 312-1935
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN093691 Ohio
Nursing Service Providers / Licensed Practical Nurse 164W00000X 093691 Ohio

Profile Details

NPI number 1184948424
LBN Legal business name Lackey, Kelly Corinne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2010
Last updated Mar 5th, 2019 - about 5 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 1184948424 NPPES
Oklahoma MEDICAID 16
Oklahoma MEDICAID 1184948424

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