Kellam, Wynette
Kellam, Wynette is an individual health care provider with primary practice located at 175 Deer Run Rd , Danville VA 24540-2863. 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. Kellam, Wynette can be contacted via phone (434) 797-5531.Contact Information
Primary practice address
175 Deer Run Rd
Danville VA 24540-2863
Phone: (434) 797-5531
Fax: (434) 836-0250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2202005654 | Virginia |
Profile Details
| NPI number | 1376875732 |
|---|---|
| LBN Legal business name | Kellam, Wynette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2010 |
| Last updated | Feb 9th, 2010 - about 14 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 | 1376875732 | NPPES |
| Virginia | MEDICAID | 004981197 |
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