Cross, Kelly R

Cross, Kelly R is an sole proprietor health care provider with primary practice located at 1700 Nantuckett Ln #106, Charlotte NC 28270-2304. 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. Cross, Kelly R can be contacted via phone (704) 654-6119.

Contact Information

Primary practice address
1700 Nantuckett Ln #106 Charlotte NC 28270-2304
Phone: (704) 654-6119
Fax: (704) 708-9499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6782 North Carolina

Profile Details

NPI number 1720105539
LBN Legal business name Cross, Kelly R
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2007
Last updated Jul 8th, 2007 - about 18 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 1720105539 NPPES
North Carolina MEDICAID 7412564

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