Evans, Kerry Bodnar

Evans, Kerry Bodnar is an individual health care provider with primary practice located at 2424 Double Churches Rd , Columbus GA 31909-2741. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Evans, Kerry Bodnar can be contacted via phone (706) 324-6112.

Contact Information

Primary practice address
2424 Double Churches Rd Columbus GA 31909-2741
Phone: (706) 324-6112
Fax: (706) 596-8259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD003929 Georgia

Profile Details

NPI number 1639516628
LBN Legal business name Evans, Kerry Bodnar
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2013
Last updated Aug 10th, 2015 - about 9 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 1639516628 NPPES
Georgia MEDICAID 003135237A
Georgia MEDICAID 149113

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