Ricketts, Kelly Anne

Ricketts, Kelly Anne is an individual health care provider with primary practice located at 51 Sw Lee St , Newport OR 97365-3823. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ricketts, Kelly Anne can be contacted via phone (541) 574-5960.

Contact Information

Primary practice address
51 Sw Lee St Newport OR 97365-3823
Phone: (541) 574-5960
Fax: (541) 265-0601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 234820 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 234820 Oregon

Profile Details

NPI number 1205117850
LBN Legal business name Ricketts, Kelly Anne
Credentials QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2011
Last updated Oct 25th, 2016 - 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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