Bostic, Kelli
Bostic, Kelli is an individual health care provider with primary practice located at 200 Elizabeth St , Charleston WV 25311-2119. 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. Bostic, Kelli can be contacted via phone (304) 766-7655.Contact Information
Primary practice address
200 Elizabeth St
Charleston WV 25311-2119
Phone: (304) 766-7655
Fax: (304) 755-2824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1200 | West Virginia |
Profile Details
| NPI number | 1700065364 |
|---|---|
| LBN Legal business name | Bostic, Kelli |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2007 |
| Last updated | Oct 31st, 2007 - about 18 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 | 1700065364 | NPPES |
| West Virginia | MEDICAID | 0154286000 |
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