Watson, Kellie P

Watson, Kellie P is an sole proprietor health care provider with primary practice located at 420 Pat Rd , Lexington SC 29073-8435. 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. Watson, Kellie P can be contacted via phone (803) 767-5153.

Contact Information

Primary practice address
420 Pat Rd Lexington SC 29073-8435
Phone: (803) 767-5153
Fax: (803) 955-0972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3812 South Carolina

Profile Details

NPI number 1750590378
LBN Legal business name Watson, Kellie P
Credentials MSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Jul 8th, 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 1750590378 NPPES
South Carolina Other 12028242 NATIONAL LICENSE
South Carolina Other 3812 NATIONAL LICENSE

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