Dick, William Kelly

Dick, William Kelly is an individual health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Dick, William Kelly can be contacted via phone (801) 373-7850.

Contact Information

Primary practice address
1034 N 500 W Provo UT 84604-3380
Phone: (801) 373-7850
Fax: (801) 357-7997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1070034101 Utah

Profile Details

NPI number 1306869250
LBN Legal business name Dick, William Kelly
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1306869250 NPPES
Utah Other 1070034101 UTAH STATE LICENSE

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