Kelley, Roberta A

Kelley, Roberta A is an individual health care provider with primary practice located at 1100 9Th Ave , Seattle WA 98101-2756. 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. Kelley, Roberta A can be contacted via phone (206) 223-6600.

Contact Information

Primary practice address
1100 9Th Ave Seattle WA 98101-2756
Phone: (206) 223-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL00001433 Washington

Profile Details

NPI number 1811040439
LBN Legal business name Kelley, Roberta A
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jan 25th, 2013 - about 13 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 1811040439 NPPES
Washington Other KE7760 BLUE SHIELD #
Washington Other US1051824 BLUE SHIELD #
Washington Other 0039572 BLUE SHIELD #
Washington MEDICAID 8345233 BLUE SHIELD #

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