Seltzer, Kelly

Seltzer, Kelly is an sole proprietor health care provider with primary practice located at 320 Monterey Cir , Jonesboro GA 30236-8242. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Seltzer, Kelly can be contacted via phone (404) 399-9077.

Contact Information

Primary practice address
320 Monterey Cir Jonesboro GA 30236-8242
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1710462759
LBN Legal business name Seltzer, Kelly
Credentials BAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2018
Last updated Sep 26th, 2018 - about 7 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 1710462759 NPPES
Georgia MEDICAID 21554587418

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