Jackley, Kristi L

Jackley, Kristi L is an sole proprietor health care provider with primary practice located at 525 Mount Argyll Ct , Apopka FL 32712-4738. 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. Jackley, Kristi L can be contacted via phone (321) 230-1124.

Contact Information

Primary practice address
525 Mount Argyll Ct Apopka FL 32712-4738
Phone: (321) 230-1124
Fax: (321) 256-5211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL008163 Pennsylvania
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA7750 Florida

Profile Details

NPI number 1649431412
LBN Legal business name Jackley, Kristi L
Credentials SPEECH PATHOLOGIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2008
Last updated Mar 5th, 2020 - about 6 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 1649431412 NPPES
Florida MEDICAID 003686500

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