Bumgardaner, Kelley Suzanne

Bumgardaner, Kelley Suzanne is an sole proprietor health care provider with primary practice located at 801 Brim St , Desloge MO 63601-3441. 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. Bumgardaner, Kelley Suzanne can be contacted via phone (573) 431-0223.

Contact Information

Primary practice address
801 Brim St Desloge MO 63601-3441
Phone: (573) 431-0223
Fax: (573) 431-0251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X MO01965 Missouri

Profile Details

NPI number 1720154248
LBN Legal business name Bumgardaner, Kelley Suzanne
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2006
Last updated Jul 8th, 2007 - about 19 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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