Stallings, Kellie R.

Stallings, Kellie R. is an individual health care provider with primary practice located at 1414 W San Antonio , New Braunfels TX 78130-6202. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stallings, Kellie R. can be contacted via phone (830) 629-6571.

Contact Information

Primary practice address
1414 W San Antonio New Braunfels TX 78130-6202
Phone: (830) 629-6571
Fax: (830) 608-1262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 17163 Texas

Profile Details

NPI number 1265693030
LBN Legal business name Stallings, Kellie R.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2008
Last updated Jun 24th, 2008 - about 17 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 1265693030 NPPES
Texas MEDICAID 0406027-01

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