Johnson, Kelly Gaines

Johnson, Kelly Gaines is an individual health care provider with primary practice located at 2828 W University Blvd Suite 114, Durant OK 74701-3090. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Johnson, Kelly Gaines can be contacted via phone (580) 745-5171.

Contact Information

Primary practice address
2828 W University Blvd Suite 114 Durant OK 74701-3090
Phone: (580) 745-5171
Fax: (580) 745-5173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 80077 Texas
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 80077 Texas

Profile Details

NPI number 1326318437
LBN Legal business name Johnson, Kelly Gaines
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2012
Last updated Jul 21st, 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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