Willard, Kelly

Willard, Kelly is an sole proprietor health care provider with primary practice located at 22110 Roscoe Blvd Suite 204, Canoga Park CA 91304-3845. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Willard, Kelly can be contacted via phone (818) 713-8700.

Contact Information

Primary practice address
22110 Roscoe Blvd Suite 204 Canoga Park CA 91304-3845
Phone: (818) 713-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1013382787
LBN Legal business name Willard, Kelly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2015
Last updated Dec 7th, 2015 - about 9 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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