Violette, Kelly Ruth

Violette, Kelly Ruth is an individual health care provider with primary practice located at 4890 32Nd Ave Se , Salem OR 97317-9350. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Violette, Kelly Ruth can be contacted via phone (503) 588-5647.

Contact Information

Primary practice address
4890 32Nd Ave Se Salem OR 97317-9350
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1407287741
LBN Legal business name Violette, Kelly Ruth
Credentials QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2013
Last updated Dec 12th, 2013 - about 13 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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