Pankopf, Keely

Pankopf, Keely is an individual health care provider with primary practice located at 9480 Three Rivers Rd , Gulfport MS 39503-4248. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Pankopf, Keely can be contacted via phone (228) 313-3106.

Contact Information

Primary practice address
9480 Three Rivers Rd Gulfport MS 39503-4248
Phone: (228) 313-3106
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-74335 Mississippi

Profile Details

NPI number 1275185258
LBN Legal business name Pankopf, Keely
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2019
Last updated Jul 10th, 2019 - about 7 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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