Weaver, Kelly Jean

Weaver, Kelly Jean is an individual health care provider with primary practice located at 224 E Main St , Lexington SC 29072-3546. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Weaver, Kelly Jean can be contacted via phone (803) 808-5222.

Contact Information

Primary practice address
224 E Main St Lexington SC 29072-3546
Fax: (803) 957-2042
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2760 South Carolina

Profile Details

NPI number 1063594034
LBN Legal business name Weaver, Kelly Jean
Credentials MED, EDS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 17 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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