Halligan, Kelly Marie

Halligan, Kelly Marie is an individual health care provider with primary practice located at 620 Main St 102, Fairplay CO 80440-1295. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Halligan, Kelly Marie can be contacted via phone (719) 838-0328.

Contact Information

Primary practice address
620 Main St 102 Fairplay CO 80440-1295
Phone: (719) 838-0328
Fax: (719) 836-4874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD20 Colorado

Profile Details

NPI number 1730152570
LBN Legal business name Halligan, Kelly Marie
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jul 17th, 2014 - about 12 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 1730152570 NPPES
Colorado MEDICAID 47821230

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