Brown, Kelly

Brown, Kelly is an individual health care provider with primary practice located at 14102 Sullyfield Cir Ste 350C , Chantilly VA 20151-1672. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Brown, Kelly can be contacted via phone (703) 291-9047.

Contact Information

Primary practice address
14102 Sullyfield Cir Ste 350C Chantilly VA 20151-1672
Phone: (703) 291-9047
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD004261 Georgia
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201001909 Virginia

Profile Details

NPI number 1376137067
LBN Legal business name Brown, Kelly
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2021
Last updated Apr 5th, 2023 - about 2 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 1376137067 NPPES
Virginia Other 2201001909 VIRGINIA AUDIOLOGY LICENSE

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