Kelly, Debra

Kelly, Debra is an individual health care provider with primary practice located at 202 W 3Rd St , Louisville NE 68037-7089. 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. Kelly, Debra can be contacted via phone (402) 234-4215.

Contact Information

Primary practice address
202 W 3Rd St Louisville NE 68037-7089
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2014006805 Nebraska

Profile Details

NPI number 1346627403
LBN Legal business name Kelly, Debra
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2015
Last updated Apr 28th, 2015 - about 11 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 1346627403 NPPES
Nebraska Other 2014006805 NEBRASKA DEPARTMENT OF EDUCATION

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