Blake, Kaitlin Ann

Blake, Kaitlin Ann is an individual health care provider with primary practice located at 542 W John St , Matthews NC 28105-5353. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Blake, Kaitlin Ann can be contacted via phone (704) 845-1717.

Contact Information

Primary practice address
542 W John St Matthews NC 28105-5353
Phone: (704) 845-1717
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AT006587 Pennsylvania

Profile Details

NPI number 1700365632
LBN Legal business name Blake, Kaitlin Ann
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2018
Last updated May 11th, 2020 - about 5 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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