Killingsworth, Carol A
Killingsworth, Carol A is an individual health care provider with primary practice located at 49 Front St N , Issaquah WA 98027-3237. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Assistive Technology Supplier. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Killingsworth, Carol A can be contacted via phone (425) 392-1161.Contact Information
Primary practice address
49 Front St N
Issaquah WA 98027-3237
Phone: (425) 392-1161
Fax: (425) 391-5692
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | LD00001153 | Washington |
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner | 231HA2400X | LD00001153 | Washington |
Speech, Language and Hearing Service Providers / Assistive Technology Supplier | 231HA2500X | LD00001153 | Washington |
Profile Details
NPI number | 1528247350 |
---|---|
LBN Legal business name | Killingsworth, Carol A |
Credentials | AU.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 29th, 2007 |
Last updated | Oct 29th, 2007 - about 17 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 | 1528247350 | NPPES |
Washington | Other | 0209957 | L&I |
Washington | MEDICAID | 7126048 | L&I |
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