Wilkinson Keylard, Leah Marie
Wilkinson Keylard, Leah Marie is an individual health care provider with primary practice located at 4033 Talbot Rd S Ste 313 , Renton WA 98055-5772. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Wilkinson Keylard, Leah Marie can be contacted via phone (425) 802-7399.Contact Information
Primary practice address
4033 Talbot Rd S Ste 313
Renton WA 98055-5772
Phone: (425) 802-7399
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | LD00002460 | Washington |
Profile Details
| NPI number | 1336177047 |
|---|---|
| LBN Legal business name | Wilkinson Keylard, Leah Marie |
| Credentials | MA, CCC A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jul 8th, 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 | 1336177047 | NPPES |
| Washington | Other | 0213493 | LABOR AND INDUSTRIES |
| Washington | MEDICAID | 8316523 | LABOR AND INDUSTRIES |
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