Willmott, Kelly
Willmott, Kelly is an sole proprietor health care provider with primary practice located at 16221 Main Ave Se Suite 102, Prior Lake MN 55372-1777. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Willmott, Kelly can be contacted via phone (952) 440-6038.Contact Information
Primary practice address
16221 Main Ave Se Suite 102
Prior Lake MN 55372-1777
Phone: (952) 440-6038
Fax: (952) 440-6037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 302238 | Minnesota |
Profile Details
| NPI number | 1780929547 |
|---|---|
| LBN Legal business name | Willmott, Kelly |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2012 |
| Last updated | Dec 5th, 2012 - about 12 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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