Ford, Kelley Ann
Ford, Kelley Ann is an sole proprietor health care provider with primary practice located at 19401 40Th Ave W Suite 310, Lynnwood WA 98036-4612. 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. Ford, Kelley Ann can be contacted via phone (425) 582-2473.Contact Information
Primary practice address
19401 40Th Ave W Suite 310
Lynnwood WA 98036-4612
Phone: (425) 582-2473
Fax: (425) 582-2475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | LL00003769 | Washington |
Profile Details
| NPI number | 1164598223 |
|---|---|
| LBN Legal business name | Ford, Kelley Ann |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Feb 11th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164598223 | NPPES |
| Washington | Other | 4230FO | REGENCE LYNNWOOD NUMBER |
| Washington | Other | 12042972 | REGENCE LYNNWOOD NUMBER |
| Washington | Other | 7552818 | REGENCE LYNNWOOD NUMBER |
| Washington | MEDICAID | 8412520 | REGENCE LYNNWOOD NUMBER |
| Washington | MEDICAID | 7028319 | REGENCE LYNNWOOD NUMBER |
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