Moore, Kelly
Moore, Kelly is an individual health care provider with primary practice located at 6549 Town Center Dr Ste A , Clarkston MI 48346-4824. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moore, Kelly can be contacted via phone (800) 395-3223.Contact Information
Primary practice address
6549 Town Center Dr Ste A
Clarkston MI 48346-4824
Phone: (800) 395-3223
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6361005383 | Michigan |
Profile Details
| NPI number | 1558530634 |
|---|---|
| LBN Legal business name | Moore, Kelly |
| Credentials | M.A., LLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2008 |
| Last updated | Apr 10th, 2024 - about last year |
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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