Falk, Kerry

Falk, Kerry is an individual health care provider with primary practice located at 602 Vonderburg Drive Suite 201, Brandon FL 33511. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Falk, Kerry can be contacted via phone (813) 653-1149.

Contact Information

Primary practice address
602 Vonderburg Drive Suite 201 Brandon FL 33511
Phone: (813) 653-1149
Fax: (813) 654-6644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5763 North Carolina
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA12976 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1285753905
LBN Legal business name Falk, Kerry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Feb 17th, 2015 - about 10 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 1285753905 NPPES
Florida MEDICAID 012797500
Florida MEDICAID SAN043
Florida MEDICAID 7412007
Florida MEDICAID 014321900

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