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:
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Health care specialties

SpecialtyCodeLicense #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 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720130347 NPPES
Arizona MEDICAID 875966

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