Mahoney, Kelly Lynn
Mahoney, Kelly Lynn is an sole proprietor health care provider with primary practice located at 2108 Huntington Ln # A , Redondo Beach CA 90278-4309. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Mahoney, Kelly Lynn can be contacted via phone (310) 372-3292.Contact Information
Primary practice address
2108 Huntington Ln # A
Redondo Beach CA 90278-4309
Phone: (310) 372-3292
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT21213 | California |
Profile Details
| NPI number | 1104124544 |
|---|---|
| LBN Legal business name | Mahoney, Kelly Lynn |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2011 |
| Last updated | Mar 9th, 2011 - about 13 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 | 1104124544 | NPPES |
| California | Other | PT21213 | PT LICENSE |
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