Ivie, Kellie O'Brien

Ivie, Kellie O'Brien is an individual health care provider with primary practice located at 5601 Brookmere St , Edwards IL 61528-9408. 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. Ivie, Kellie O'Brien can be contacted via phone (309) 363-7594.

Contact Information

Primary practice address
5601 Brookmere St Edwards IL 61528-9408
Phone: (309) 363-7594
Fax: (309) 966-3621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.016263 Illinois
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 242.005831 Illinois

Profile Details

NPI number 1942814769
LBN Legal business name Ivie, Kellie O'Brien
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2020
Last updated Feb 10th, 2022 - about 3 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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