Watson, Kelle A
Watson, Kelle A is an individual health care provider with primary practice located at 780 Lynnhaven Pkwy Ste 110 , Virginia Beach VA 23452-7351. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Watson, Kelle A can be contacted via phone (757) 301-8747.Contact Information
Primary practice address
780 Lynnhaven Pkwy Ste 110
Virginia Beach VA 23452-7351
Phone: (757) 301-8747
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701005236 | Virginia |
Profile Details
| NPI number | 1164403085 |
|---|---|
| LBN Legal business name | Watson, Kelle A |
| Credentials | MA LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Nov 29th, 2023 - about last year |
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 | 1164403085 | NPPES |
| Virginia | MEDICAID | 30015758110002 |
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