Longacker, Kelly

Longacker, Kelly is an individual health care provider with primary practice located at 1 Rapp Rd , Albany NY 12203-4491. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Longacker, Kelly can be contacted via phone (518) 867-3061.

Contact Information

Primary practice address
1 Rapp Rd Albany NY 12203-4491
Phone: (518) 867-3061
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 508536112 New York

Profile Details

NPI number 1689935603
LBN Legal business name Longacker, Kelly
Credentials MSED, CAS, NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated Jun 6th, 2012 - 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.

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