Kelley, Beverly Diane
Kelley, Beverly Diane is an individual health care provider with primary practice located at 1580 Highway 51 S , Covington TN 38019-3221. 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. Kelley, Beverly Diane can be contacted via phone (423) 622-1551.Contact Information
Primary practice address
1580 Highway 51 S
Covington TN 38019-3221
Phone: (423) 622-1551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1216 | Tennessee |
Profile Details
| NPI number | 1598301673 |
|---|---|
| LBN Legal business name | Kelley, Beverly Diane |
| Credentials | SLP-CCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2019 |
| Last updated | Nov 23rd, 2019 - about 5 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 | 1598301673 | NPPES |
| Tennessee | Other | 1216 | TN HEALTH LICENSE |
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