Kelly, Haley

Kelly, Haley is an sole proprietor health care provider with primary practice located at 1371 Ymca Dr , Festus MO 63028-2617. 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. Kelly, Haley can be contacted via phone (636) 274-0555.

Contact Information

Primary practice address
1371 Ymca Dr Festus MO 63028-2617
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2020028871 Missouri

Profile Details

NPI number 1023773397
LBN Legal business name Kelly, Haley
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2021
Last updated Aug 21st, 2023 - about 3 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 1023773397 NPPES
Missouri MEDICAID 460105580

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