Ball, Kelly Jones
Ball, Kelly Jones is an individual health care provider with primary practice located at 3615 Braselton Hwy Suite 103, Dacula GA 30019-5907. 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. Ball, Kelly Jones can be contacted via phone (678) 377-9634.Contact Information
Primary practice address
3615 Braselton Hwy Suite 103
Dacula GA 30019-5907
Phone: (678) 377-9634
Fax: (678) 377-9609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP004955 | Georgia |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4664 | North Carolina |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 33 | Alaska |
Profile Details
| NPI number | 1396737946 |
|---|---|
| LBN Legal business name | Ball, Kelly Jones |
| Credentials | M.ED., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Apr 7th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396737946 | NPPES |
| Georgia | Other | 7411355 | AETNA |
| Georgia | MEDICAID | 306024 | AETNA |
| Georgia | MEDICAID | 10033353 | AETNA |
| Georgia | Other | 52006531-001 | AETNA |
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