Walter, Kelly Nichole

Walter, Kelly Nichole is an sole proprietor health care provider with primary practice located at 1 Wildcat Dr , New London OH 44851-9262. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Walter, Kelly Nichole can be contacted via phone (419) 929-1586.

Contact Information

Primary practice address
1 Wildcat Dr New London OH 44851-9262
Phone: (419) 929-1586
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X OH3151583 Ohio

Profile Details

NPI number 1194262535
LBN Legal business name Walter, Kelly Nichole
Credentials ED.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2017
Last updated Jan 24th, 2017 - about 7 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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