Kelly, Julie L

Kelly, Julie L is an individual health care provider with primary practice located at 1930 Myrtle Ave Ste A , Eureka CA 95501-1406. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Kelly, Julie L can be contacted via phone (707) 443-4503.

Contact Information

Primary practice address
1930 Myrtle Ave Ste A Eureka CA 95501-1406
Phone: (707) 443-4503
Fax: (707) 443-7672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X HA5064 California
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU2309 California

Profile Details

NPI number 1841291549
LBN Legal business name Kelly, Julie L
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Mar 7th, 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 1841291549 NPPES
California MEDICAID AU0023090

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