Marshall, Kelli Brooke

Marshall, Kelli Brooke is an individual health care provider with primary practice located at 5500 N Western Ave Suite 153, Oklahoma City OK 73118-4019. 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. Marshall, Kelli Brooke can be contacted via phone (405) 286-3749.

Contact Information

Primary practice address
5500 N Western Ave Suite 153 Oklahoma City OK 73118-4019
Fax: (866) 435-3297
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3036 Oklahoma

Profile Details

NPI number 1083679658
LBN Legal business name Marshall, Kelli Brooke
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Apr 18th, 2011 - about 13 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 1083679658 NPPES
Oklahoma MEDICAID 200063320B

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