Correll, Kelly

Correll, Kelly is an individual health care provider with primary practice located at 3001 Henderson Dr Suite K, Cheyenne WY 82001-5840. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Correll, Kelly can be contacted via phone (307) 634-7550.

Contact Information

Primary practice address
3001 Henderson Dr Suite K Cheyenne WY 82001-5840
Phone: (307) 634-7550
Fax: (307) 634-4463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 698 Nebraska
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 142 Wyoming
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 429H South Dakota

Profile Details

NPI number 1093266587
LBN Legal business name Correll, Kelly
Credentials BCHIS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2016
Last updated Oct 19th, 2016 - about 9 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 1093266587 NPPES
Wyoming MEDICAID 124021800

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