Duque, Kelly
Duque, Kelly is an sole proprietor health care provider with primary practice located at 613 Burroughs Dr , Wilmington NC 28412-3071. 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. Duque, Kelly can be contacted via phone (910) 431-7382.Contact Information
Primary practice address
613 Burroughs Dr
Wilmington NC 28412-3071
Phone: (910) 431-7382
Fax: (910) 794-3065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 7383 | North Carolina |
Profile Details
| NPI number | 1154449767 |
|---|---|
| LBN Legal business name | Duque, Kelly |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jan 7th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154449767 | NPPES |
| North Carolina | MEDICAID | 7412575 |
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