Shively, Kelly Lorraine
Shively, Kelly Lorraine is an individual health care provider with primary practice located at 1738 S Martinson , Wichita KS 67213-5799. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Shively, Kelly Lorraine can be contacted via phone (316) 293-9547.Contact Information
Primary practice address
1738 S Martinson
Wichita KS 67213-5799
Phone: (316) 293-9547
Fax: (316) 691-8473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1942 | Kansas |
Profile Details
| NPI number | 1255524229 |
|---|---|
| LBN Legal business name | Shively, Kelly Lorraine |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2007 |
| Last updated | Sep 5th, 2012 - about 12 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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