Chase, Kelly

Chase, Kelly is an individual health care provider with primary practice located at 800 Brookstown Ave , Winston-Salem NC 27101-3745. 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. Chase, Kelly can be contacted via phone (336) 725-0222.

Contact Information

Primary practice address
800 Brookstown Ave Winston-Salem NC 27101-3745
Fax: (336) 725-0454
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6676 North Carolina

Profile Details

NPI number 1134113681
LBN Legal business name Chase, Kelly
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jul 13th, 2026 - about 3 months 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 1134113681 NPPES
North Carolina Other 140HK NC BCBS
North Carolina MEDICAID 7412362 NC BCBS

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