Kelly, Kelyshia Jewan

Kelly, Kelyshia Jewan is an sole proprietor health care provider with primary practice located at 57997 Barrow St , Plaquemine LA 70764-4107. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kelly, Kelyshia Jewan can be contacted via phone (225) 241-8876.

Contact Information

Primary practice address
57997 Barrow St Plaquemine LA 70764-4107
Phone: (225) 241-8876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6423 Louisiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1083141188
LBN Legal business name Kelly, Kelyshia Jewan
Credentials SLPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2017
Last updated Jul 21st, 2022 - about 4 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 1083141188 NPPES
Louisiana MEDICAID 1255705828

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