Lineback, Kelsie Jean

Lineback, Kelsie Jean is an individual health care provider with primary practice located at 14122 3Rd St Bldg 350 , Fort Leonard Wood MO 65473-9167. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Lineback, Kelsie Jean can be contacted via phone (573) 596-9677.

Contact Information

Primary practice address
14122 3Rd St Bldg 350 Fort Leonard Wood MO 65473-9167
Phone: (573) 596-9677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1669147344
LBN Legal business name Lineback, Kelsie Jean
Credentials DHA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2021
Last updated Aug 13th, 2021 - about 4 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.

Request for update

Popular Providers