Street, Shannon Kelly
Street, Shannon Kelly is an individual health care provider with primary practice located at 101 Airport Road , Toksook Bay AK 99637. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Street, Shannon Kelly can be contacted via phone (907) 427-3500.Contact Information
Primary practice address
101 Airport Road
Toksook Bay AK 99637
Phone: (907) 427-3500
Fax: (907) 427-3526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1033692793 |
|---|---|
| LBN Legal business name | Street, Shannon Kelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2018 |
| Last updated | Jan 4th, 2021 - about 4 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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