Edge, Shelby Patrick

Edge, Shelby Patrick is an individual health care provider with primary practice located at 290 Alumni Dr Ste 104 , Lexington KY 40503-1601. 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. Edge, Shelby Patrick can be contacted via phone (859) 218-2322.

Contact Information

Primary practice address
290 Alumni Dr Ste 104 Lexington KY 40503-1601
Phone: (859) 218-2322
Fax: (859) 257-0284
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 242922 Kentucky

Profile Details

NPI number 1275019564
LBN Legal business name Edge, Shelby Patrick
Credentials MS, CF-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2018
Last updated Jul 19th, 2018 - about 8 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 1275019564 NPPES
Kentucky Other 242922 INTERIM LICENSE

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