Kay, Jordan Rae

Kay, Jordan Rae is an sole proprietor health care provider with primary practice located at 519 S Sims St , Bainbridge GA 39819-4159. 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. Kay, Jordan Rae can be contacted via phone (229) 220-1890.

Contact Information

Primary practice address
519 S Sims St Bainbridge GA 39819-4159
Phone: (229) 220-1890
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4939 Tennessee
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP008510 Georgia

Profile Details

NPI number 1932535630
LBN Legal business name Kay, Jordan Rae
Credentials M.ED. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2013
Last updated Oct 20th, 2018 - about 7 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 1932535630 NPPES
Georgia MEDICAID 003145576D

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