Blackwell, Kaitlyn Rose

Blackwell, Kaitlyn Rose is an sole proprietor health care provider with primary practice located at 500 Haley Ave , Louisiana MO 63353-2417. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Blackwell, Kaitlyn Rose can be contacted via phone (573) 754-6904.

Contact Information

Primary practice address
500 Haley Ave Louisiana MO 63353-2417
Phone: (573) 754-6904
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 2023042939 Missouri

Profile Details

NPI number 1457123267
LBN Legal business name Blackwell, Kaitlyn Rose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2023
Last updated Oct 25th, 2023 - about last year

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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