Valentine, Kellie Lee
Valentine, Kellie Lee is an sole proprietor health care provider with primary practice located at 208 E Bayfront Pkwy Ste 200B , Erie PA 16507-2413. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Valentine, Kellie Lee can be contacted via phone (814) 871-6333.Contact Information
Primary practice address
208 E Bayfront Pkwy Ste 200B
Erie PA 16507-2413
Phone: (814) 871-6333
Fax: (814) 871-6335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC003951 | Pennsylvania |
Profile Details
| NPI number | 1760464572 |
|---|---|
| LBN Legal business name | Valentine, Kellie Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Oct 29th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760464572 | NPPES |
| Pennsylvania | MEDICAID | 102667010002 |
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