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:
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Health care specialties

SpecialtyCodeLicense #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 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164403085 NPPES
Virginia MEDICAID 30015758110002

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