Beckner, Kelly D

Beckner, Kelly D is an individual health care provider with primary practice located at 1215 Corporate Cir Sw Ste 201 , Roanoke VA 24018-1400. 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. Beckner, Kelly D can be contacted via phone (540) 312-7066.

Contact Information

Primary practice address
1215 Corporate Cir Sw Ste 201 Roanoke VA 24018-1400
Phone: (540) 312-7066
Fax: (540) 390-0195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202004349 Virginia

Profile Details

NPI number 1720164585
LBN Legal business name Beckner, Kelly D
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Apr 15th, 2024 - about 2 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 1720164585 NPPES
Virginia MEDICAID 004978331
Virginia Other 7088632
Virginia Other 240052
Virginia Other 195182

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