Shaw, Kelly Grace
Shaw, Kelly Grace is an sole proprietor health care provider with primary practice located at 565 Benfield Rd Ste 300 , Severna Park MD 21146-2517. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Shaw, Kelly Grace can be contacted via phone (410) 656-6263.Contact Information
Primary practice address
565 Benfield Rd Ste 300
Severna Park MD 21146-2517
Phone: (410) 656-6263
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
NPI number | 1780231100 |
---|---|
LBN Legal business name | Shaw, Kelly Grace |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 21st, 2019 |
Last updated | Apr 13th, 2020 - about 4 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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