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
Fax: (843) 215-2910
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831346428 NPPES
West Virginia MEDICAID 3810000830

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