Preston, Kelly

Preston, Kelly is an sole proprietor health care provider with primary practice located at 500 Grotto Street N , St Paul MN 55104. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Preston, Kelly can be contacted via phone (651) 760-3236.

Contact Information

Primary practice address
500 Grotto Street N St Paul MN 55104
Fax: (651) 222-6025
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1093229411
LBN Legal business name Preston, Kelly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2017
Last updated Nov 21st, 2017 - 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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