Kelley, Corneta E.
Kelley, Corneta E. is an sole proprietor health care provider with primary practice located at 1201 E Fry Blvd Suite #5, Sierra Vista AZ 85635-2600. 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, Corneta E. can be contacted via phone (520) 459-8258.Contact Information
Primary practice address
1201 E Fry Blvd Suite #5
Sierra Vista AZ 85635-2600
Phone: (520) 459-8258
Fax: (520) 459-8619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP4673 | Arizona |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP 11835 | California |
Profile Details
| NPI number | 1538242367 |
|---|---|
| LBN Legal business name | Kelley, Corneta E. |
| Credentials | M.A.,CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1538242367 | NPPES |
| Arizona | Other | 968109 | AHCCCS |
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