Licquia, Kelly Radford

Licquia, Kelly Radford is an sole proprietor health care provider with primary practice located at 3711 Shamrock W Apt N264 , Tallahassee FL 32309-2699. 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. Licquia, Kelly Radford can be contacted via phone (850) 566-2944.

Contact Information

Primary practice address
3711 Shamrock W Apt N264 Tallahassee FL 32309-2699
Phone: (850) 566-2944
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA13231 Florida

Profile Details

NPI number 1811052525
LBN Legal business name Licquia, Kelly Radford
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Nov 2nd, 2023 - about last year

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 1811052525 NPPES
Florida MEDICAID 012952300
Florida MEDICAID 013610500
Florida MEDICAID 7412328

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