Koprovic, Kelly Irene
Koprovic, Kelly Irene is an sole proprietor health care provider with primary practice located at 2208 Lee Creek Dr , Van Buren AR 72956-6911. 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. Koprovic, Kelly Irene can be contacted via phone (479) 806-7440.Contact Information
Primary practice address
2208 Lee Creek Dr
Van Buren AR 72956-6911
Phone: (479) 806-7440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP1270 | Arkansas |
Profile Details
| NPI number | 1659589687 |
|---|---|
| LBN Legal business name | Koprovic, Kelly Irene |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | Oct 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659589687 | NPPES |
| Arkansas | MEDICAID | 131677721 |
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