Boylan, Kellyanne

Boylan, Kellyanne is an individual health care provider with primary practice located at 1629 York Rd , Lutherville MD 21093-5633. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Boylan, Kellyanne can be contacted via phone (443) 578-3900.

Contact Information

Primary practice address
1629 York Rd Lutherville MD 21093-5633
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 01610 Maryland

Profile Details

NPI number 1598499725
LBN Legal business name Boylan, Kellyanne
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2022
Last updated Jul 13th, 2022 - about 3 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 1598499725 NPPES
Maryland Other 1942325527 AUDIOLOGY

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