Kelly, Kristina L

Kelly, Kristina L is an sole proprietor health care provider with primary practice located at 12773 Forest Hill Blvd Suite 217, Wellington FL 33414-4767. 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, Kristina L can be contacted via phone (207) 798-0746.

Contact Information

Primary practice address
12773 Forest Hill Blvd Suite 217 Wellington FL 33414-4767
Phone: (207) 798-0746
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA11782 Florida

Profile Details

NPI number 1902002157
LBN Legal business name Kelly, Kristina L
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2007
Last updated Jan 21st, 2013 - about 12 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 1902002157 NPPES
Maine Other 11342698 CAQH

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