Gillum, Kelley Lynne
Gillum, Kelley Lynne is an individual health care provider with primary practice located at 3701 Landsdowne Dr , Ashland KY 41102-5422. 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. Gillum, Kelley Lynne can be contacted via phone (606) 324-3005.Contact Information
Primary practice address
3701 Landsdowne Dr
Ashland KY 41102-5422
Phone: (606) 324-3005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 172728 | Kentucky |
Profile Details
| NPI number | 1073768578 |
|---|---|
| LBN Legal business name | Gillum, Kelley Lynne |
| Credentials | M.S.,CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2008 |
| Last updated | Jun 5th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073768578 | NPPES |
| Kentucky | Other | 172728 | KENTUCKY BOARD OF SPEECH AND LANGUAGE PATHOLOGY |
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