Marshall, Kelli Brooke
Marshall, Kelli Brooke is an individual health care provider with primary practice located at 5500 N Western Ave Suite 153, Oklahoma City OK 73118-4019. 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. Marshall, Kelli Brooke can be contacted via phone (405) 286-3749.Contact Information
Primary practice address
5500 N Western Ave Suite 153
Oklahoma City OK 73118-4019
Phone: (405) 286-3749
Fax: (866) 435-3297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3036 | Oklahoma |
Profile Details
| NPI number | 1083679658 |
|---|---|
| LBN Legal business name | Marshall, Kelli Brooke |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Apr 18th, 2011 - about 15 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 | 1083679658 | NPPES |
| Oklahoma | MEDICAID | 200063320B |
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