Marks, Kelly Ann

Marks, Kelly Ann is an sole proprietor health care provider with primary practice located at 10101 19Th Ave Se Ste A-2 , Everett WA 98208-4255. 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. Marks, Kelly Ann can be contacted via phone (425) 315-5409.

Contact Information

Primary practice address
10101 19Th Ave Se Ste A-2 Everett WA 98208-4255
Fax: (877) 425-0986
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL00001619 Washington

Profile Details

NPI number 1255477923
LBN Legal business name Marks, Kelly Ann
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 9th, 2007 - about 18 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 1255477923 NPPES
Washington MEDICAID 7096548

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