Abraham, Kelly
Abraham, Kelly is an individual health care provider with primary practice located at 8703 Highway 17 Byp S Ste 1 , Myrtle Beach SC 29575-7701. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Abraham, Kelly can be contacted via phone (843) 457-1053.Contact Information
Primary practice address
8703 Highway 17 Byp S Ste 1
Myrtle Beach SC 29575-7701
Phone: (843) 457-1053
Fax: (843) 215-2910
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2698 | West Virginia |
Profile Details
NPI number | 1831346428 |
---|---|
LBN Legal business name | Abraham, Kelly |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 26th, 2008 |
Last updated | Aug 6th, 2015 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831346428 | NPPES |
West Virginia | MEDICAID | 3810000830 |
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