Lacy, Kelli Beth

Lacy, Kelli Beth is an individual health care provider with primary practice located at 509 Main St , Logan WV 25601-3809. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Lacy, Kelli Beth can be contacted via phone (304) 896-5008.

Contact Information

Primary practice address
509 Main St Logan WV 25601-3809
Phone: (304) 896-5008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 21-913 West Virginia

Profile Details

NPI number 1013643352
LBN Legal business name Lacy, Kelli Beth
Credentials PRSS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2022
Last updated Jul 28th, 2022 - about 2 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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