Pack, Kelly R

Pack, Kelly R is an individual health care provider with primary practice located at 2011 Mall Dr Ste 4 , Texarkana TX 75503-2550. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Pack, Kelly R can be contacted via phone (903) 792-3986.

Contact Information

Primary practice address
2011 Mall Dr Ste 4 Texarkana TX 75503-2550
Fax: (903) 792-3935
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 80696 Texas

Profile Details

NPI number 1730520651
LBN Legal business name Pack, Kelly R
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2013
Last updated Jun 18th, 2019 - about 6 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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