Mata, Kelly
Mata, Kelly is an individual health care provider with primary practice located at 41 Old Turnpike Rd , Southington CT 06489-3633. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mata, Kelly can be contacted via phone (860) 985-6295.Contact Information
Primary practice address
41 Old Turnpike Rd
Southington CT 06489-3633
Phone: (860) 985-6295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 002382 | Connecticut |
Profile Details
| NPI number | 1649504788 |
|---|---|
| LBN Legal business name | Mata, Kelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2009 |
| Last updated | Jun 12th, 2015 - about 10 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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