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:
Health care specialties
Specialty | Code | License # | 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 16 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 | 1265693030 | NPPES |
Texas | MEDICAID | 0406027-01 |
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