Underwood, Kelly Elizabeth

Underwood, Kelly Elizabeth is an sole proprietor health care provider with primary practice located at 1031 E Fayette St , Syracuse NY 13210-1022. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Underwood, Kelly Elizabeth can be contacted via phone (315) 732-3437.

Contact Information

Primary practice address
1031 E Fayette St Syracuse NY 13210-1022
Phone: (315) 732-3437
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1366025165
LBN Legal business name Underwood, Kelly Elizabeth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2021
Last updated Apr 30th, 2021 - about 5 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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