Kelly, Kathleen Marie
Kelly, Kathleen Marie is an individual health care provider with primary practice located at 2325 Summit Park Dr Suite B, Petoskey MI 49770-8774. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Kelly, Kathleen Marie can be contacted via phone (231) 347-1800.Contact Information
Primary practice address
2325 Summit Park Dr Suite B
Petoskey MI 49770-8774
Phone: (231) 347-1800
Fax: (231) 347-1864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 1601000052 | Michigan |
Profile Details
| NPI number | 1144264573 |
|---|---|
| LBN Legal business name | Kelly, Kathleen Marie |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Aug 15th, 2017 - about 8 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 | 1144264573 | NPPES |
| Michigan | Other | 640B410780 | BCBS AUDIOLOGYPROVIDER ID |
| Michigan | Other | 540B410790 | BCBS AUDIOLOGYPROVIDER ID |
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