Davis, Kelle L

Davis, Kelle L is an individual health care provider with primary practice located at 1767 E Main St , El Cajon CA 92021-5219. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Davis, Kelle L can be contacted via phone (619) 440-6516.

Contact Information

Primary practice address
1767 E Main St El Cajon CA 92021-5219
Fax: (619) 440-6547
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA6083 California

Profile Details

NPI number 1902853344
LBN Legal business name Davis, Kelle L
Credentials HAD
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jun 30th, 2015 - about 10 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 1902853344 NPPES
California MEDICAID HA0060830

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