Kelly, Dina

Kelly, Dina is an sole proprietor health care provider with primary practice located at 306 W Mill St , Carbondale IL 62901-2727. 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, Dina can be contacted via phone (618) 529-3060.

Contact Information

Primary practice address
306 W Mill St Carbondale IL 62901-2727
Phone: (618) 529-3060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.010191 Illinois

Profile Details

NPI number 1295126761
LBN Legal business name Kelly, Dina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2015
Last updated Feb 5th, 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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