Ross, Kelly Marie
Ross, Kelly Marie is an sole proprietor health care provider with primary practice located at 15802 N. Parkview Place , Surprise AZ 85374. 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. Ross, Kelly Marie can be contacted via phone (623) 876-7394.Contact Information
Primary practice address
15802 N. Parkview Place
Surprise AZ 85374
Phone: (623) 876-7394
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP0312 | Arizona |
Profile Details
| NPI number | 1427107929 |
|---|---|
| LBN Legal business name | Ross, Kelly Marie |
| Credentials | MS. SLP, CCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427107929 | NPPES |
| Arizona | MEDICAID | 598633 |
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