Park, Kelli Michele

Park, Kelli Michele is an sole proprietor health care provider with primary practice located at 11140 Nw 26Th Dr , Coral Springs FL 33065. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Park, Kelli Michele can be contacted via phone (954) 649-4846.

Contact Information

Primary practice address
11140 Nw 26Th Dr Coral Springs FL 33065
Phone: (954) 649-4846
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12156718 Florida

Profile Details

NPI number 1700011715
LBN Legal business name Park, Kelli Michele
Credentials M.S. SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2009
Last updated May 30th, 2018 - 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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