Diekemper, Kelly Ann
Diekemper, Kelly Ann is an individual health care provider with primary practice located at 634 N Main St Ste 3 , O Fallon IL 62269-3746. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Diekemper, Kelly Ann can be contacted via phone (618) 632-4222.Contact Information
Primary practice address
634 N Main St Ste 3
O Fallon IL 62269-3746
Phone: (618) 632-4222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 242.002236 | Illinois |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146.011505 | Illinois |
Profile Details
| NPI number | 1285992560 |
|---|---|
| LBN Legal business name | Diekemper, Kelly Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2012 |
| Last updated | Mar 18th, 2013 - about 12 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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