Lenneman, Kelly

Lenneman, Kelly is an sole proprietor health care provider with primary practice located at 3749 W 95Th St , Evergreen Park IL 60805-2019. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lenneman, Kelly can be contacted via phone (844) 372-7672.

Contact Information

Primary practice address
3749 W 95Th St Evergreen Park IL 60805-2019
Phone: (844) 372-7672
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Illinois

Profile Details

NPI number 1588338172
LBN Legal business name Lenneman, Kelly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2021
Last updated Dec 8th, 2021 - 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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