Risner, Kelly Ann

Risner, Kelly Ann is an individual health care provider with primary practice located at 701 West Wetmore Road Amphitheater Public Schools, Tucson AZ 85705-1547. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Risner, Kelly Ann can be contacted via phone (520) 696-5237.

Contact Information

Primary practice address
701 West Wetmore Road Amphitheater Public Schools Tucson AZ 85705-1547
Phone: (520) 696-5237
Fax: (520) 696-5067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1790826014
LBN Legal business name Risner, Kelly Ann
Credentials EDS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jul 26th, 2007 - about 17 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 1790826014 NPPES
Arizona MEDICAID 642745

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