Paolisso, Kelly
Paolisso, Kelly is an individual health care provider with primary practice located at 2238 E Ginter Road Sunnyside Unified School District No 12, Tucson AZ 85706. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Paolisso, Kelly can be contacted via phone (520) 545-2137.Contact Information
Primary practice address
2238 E Ginter Road Sunnyside Unified School District No 12
Tucson AZ 85706
Phone: (520) 545-2137
Fax: (520) 545-2120
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 103TS0200X | 290846347 | Arizona |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10640PT |
Profile Details
NPI number | 1720130347 |
---|---|
LBN Legal business name | Paolisso, Kelly |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 16th, 2007 |
Last updated | Oct 29th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720130347 | NPPES |
Arizona | MEDICAID | 875966 |
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