Carson, Shelli Ks

Carson, Shelli Ks is an individual health care provider with primary practice located at 1970 E Joyce Blvd Ste 2 , Fayetteville AR 72703-5135. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Carson, Shelli Ks can be contacted via phone (479) 443-6511.

Contact Information

Primary practice address
1970 E Joyce Blvd Ste 2 Fayetteville AR 72703-5135
Phone: (479) 443-6511
Fax: (479) 332-5029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X ASHA #01115396 Arkansas
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A#153 Arkansas

Profile Details

NPI number 1407997265
LBN Legal business name Carson, Shelli Ks
Credentials MS, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated May 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407997265 NPPES
Arkansas MEDICAID 145761720
Arkansas Other 153

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