Kelly, Kara

Kelly, Kara is an individual health care provider with primary practice located at 2520 Sand Mine Rd , Davenport FL 33897-3402. 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, Kara can be contacted via phone (407) 910-2941.

Contact Information

Primary practice address
2520 Sand Mine Rd Davenport FL 33897-3402
Phone: (407) 910-2941
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA11595 Florida

Profile Details

NPI number 1437430071
LBN Legal business name Kelly, Kara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2011
Last updated Jul 15th, 2019 - about 7 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 1437430071 NPPES
Florida MEDICAID 004612200

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