Smith, Kellsie Lynn

Smith, Kellsie Lynn is an individual health care provider with primary practice located at 5220 6Th Street Frontage Rd E Ste 330 , Springfield IL 62703-5735. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Smith, Kellsie Lynn can be contacted via phone (217) 525-8332.

Contact Information

Primary practice address
5220 6Th Street Frontage Rd E Ste 330 Springfield IL 62703-5735
Phone: (217) 525-8332
Fax: (217) 789-1420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1134851793
LBN Legal business name Smith, Kellsie Lynn
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2022
Last updated Jun 30th, 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.

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