Blackwell, Kelly
Blackwell, Kelly is an sole proprietor health care provider with primary practice located at 126 Western Ave # 123 , Augusta ME 04330-7249. 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. Blackwell, Kelly can be contacted via phone (207) 830-1380.Contact Information
Primary practice address
126 Western Ave # 123
Augusta ME 04330-7249
Phone: (207) 830-1380
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ST2194 | Maine |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP2350 | Maine |
Profile Details
| NPI number | 1801142765 |
|---|---|
| LBN Legal business name | Blackwell, Kelly |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2012 |
| Last updated | Jan 3rd, 2022 - about 4 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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