Shively, Kelsey
Shively, Kelsey is an individual health care provider with primary practice located at 187 W Schrock Rd , Westerville OH 43081-2890. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Shively, Kelsey can be contacted via phone (614) 355-7500.Contact Information
Primary practice address
187 W Schrock Rd
Westerville OH 43081-2890
Phone: (614) 355-7500
Fax: (614) 355-7533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Ohio | |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | P.08118 | Ohio |
Profile Details
| NPI number | 1528542347 |
|---|---|
| LBN Legal business name | Shively, Kelsey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2018 |
| Last updated | Apr 8th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528542347 | NPPES |
| Ohio | MEDICAID | 1473276 |
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