Richard, Kelli-Jo

Richard, Kelli-Jo is an individual health care provider with primary practice located at 1913 W Congress St , Lafayette LA 70506-4433. She recently has only one registered license in Chiropractic Providers / Pediatric Chiropractor, which is considered as her primary health care specialty. Richard, Kelli-Jo can be contacted via phone (337) 240-6003.

Contact Information

Primary practice address
1913 W Congress St Lafayette LA 70506-4433
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Pediatric Chiropractor 111NP0017X 1954 Louisiana

Profile Details

NPI number 1033712591
LBN Legal business name Richard, Kelli-Jo
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2020
Last updated Oct 10th, 2022 - about 2 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 1033712591 NPPES
Louisiana Other 1954 LA CHIROPRACTIC LICENSE NUMBER

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