Bannavong, Khetlhamany Erika
Bannavong, Khetlhamany Erika is an individual health care provider with primary practice located at 2332 Liberty Dr , Coralville IA 52241-2771. 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. Bannavong, Khetlhamany Erika can be contacted via phone (319) 545-7390.Contact Information
Primary practice address
2332 Liberty Dr
Coralville IA 52241-2771
Phone: (319) 545-7390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 114797 | Iowa |
Profile Details
| NPI number | 1245945567 |
|---|---|
| LBN Legal business name | Bannavong, Khetlhamany Erika |
| Credentials | M.A., CF-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2023 |
| Last updated | Jan 20th, 2023 - about 3 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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