Lim, Kelly Su
Lim, Kelly Su is an sole proprietor health care provider with primary practice located at 65 Memorial Rd Suite 410, West Hartford CT 06107-2434. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Lim, Kelly Su can be contacted via phone (860) 368-1648.Contact Information
Primary practice address
65 Memorial Rd Suite 410
West Hartford CT 06107-2434
Phone: (860) 368-1648
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 6200 | Connecticut |
Profile Details
| NPI number | 1932313863 |
|---|---|
| LBN Legal business name | Lim, Kelly Su |
| Credentials | LMT, CLT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Mar 23rd, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932313863 | NPPES |
| Colorado | Other | 1856 | STATE OF COLORADO MASSAGE THERAPY LICENSE |
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