Kengla, Audrey Ann
Kengla, Audrey Ann is an individual health care provider with primary practice located at 420 N Main St , Greenwood AR 72936-7007. 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. Kengla, Audrey Ann can be contacted via phone (479) 996-4142.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2262 | Arkansas |
Profile Details
| NPI number | 1235387903 |
|---|---|
| LBN Legal business name | Kengla, Audrey Ann |
| Credentials | M.S.,CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2008 |
| Last updated | Sep 5th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235387903 | NPPES |
| Arkansas | MEDICAID | 159480721 |
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