Ross-Hopkins, Kelley Kaye

Ross-Hopkins, Kelley Kaye is an sole proprietor health care provider with primary practice located at 3600 W Market St , Fairlawn OH 44333-4540. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Ross-Hopkins, Kelley Kaye can be contacted via phone (330) 436-0956.

Contact Information

Primary practice address
3600 W Market St Fairlawn OH 44333-4540
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X APS.005267 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCIII.121033 Ohio

Profile Details

NPI number 1871020388
LBN Legal business name Ross-Hopkins, Kelley Kaye
Credentials LCDCIII
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2017
Last updated Jun 28th, 2024 - about 6 months 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 1871020388 NPPES
Ohio MEDICAID 0438532

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