Kiziminski, Kelly J

Kiziminski, Kelly J is an individual health care provider with primary practice located at 2203 National Rd , Wheeling WV 26003-5203. 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. Kiziminski, Kelly J can be contacted via phone (304) 231-3820.

Contact Information

Primary practice address
2203 National Rd Wheeling WV 26003-5203
Phone: (304) 231-3820
Fax: (304) 243-0440
Website:
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Health care specialties

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

Profile Details

NPI number 1902802424
LBN Legal business name Kiziminski, Kelly J
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Nov 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902802424 NPPES
West Virginia MEDICAID 7402187000

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