Magura, Kelly Anne
Magura, Kelly Anne is an individual health care provider with primary practice located at 4510 N 37Th Ave , Phoenix AZ 85019-3206. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Magura, Kelly Anne can be contacted via phone (602) 589-0110.Contact Information
Primary practice address
4510 N 37Th Ave
Phoenix AZ 85019-3206
Phone: (602) 589-0110
Fax: (602) 589-0140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | 572918 | Arizona |
Profile Details
| NPI number | 1043355860 |
|---|---|
| LBN Legal business name | Magura, Kelly Anne |
| Credentials | M.A., M.ED. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1043355860 | NPPES |
| Arizona | Other | 572918 | AHCCCS |
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