Ketner, Holly Caudell

Ketner, Holly Caudell is an individual health care provider with primary practice located at 510 Carpenter Ave , Mooresville NC 28115-2512. 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. Ketner, Holly Caudell can be contacted via phone (704) 202-4730.

Contact Information

Primary practice address
510 Carpenter Ave Mooresville NC 28115-2512
Phone: (704) 202-4730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1248 North Carolina

Profile Details

NPI number 1114990702
LBN Legal business name Ketner, Holly Caudell
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1114990702 NPPES
North Carolina MEDICAID 7411866

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