Redkoles, Kelly
Redkoles, Kelly is an individual health care provider with primary practice located at 901 Mantua Pike Bldg A Suite 103, West Deptford NJ 08096. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Redkoles, Kelly can be contacted via phone (856) 294-6711.Contact Information
Primary practice address
901 Mantua Pike Bldg A Suite 103
West Deptford NJ 08096
Phone: (856) 294-6711
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 44SL05393200 | New Jersey |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05386600 | New Jersey |
Profile Details
NPI number | 1578786240 |
---|---|
LBN Legal business name | Redkoles, Kelly |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 11th, 2007 |
Last updated | Mar 31st, 2021 - about 3 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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