Matthews, Kelly

Matthews, Kelly is an individual health care provider with primary practice located at 118 Herron Street , Ft Oglethorpe GA 30742. 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. Matthews, Kelly can be contacted via phone (706) 861-7471.

Contact Information

Primary practice address
118 Herron Street Ft Oglethorpe GA 30742
Phone: (706) 861-7471
Fax: (706) 861-7472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP004877 Georgia

Profile Details

NPI number 1861554222
LBN Legal business name Matthews, Kelly
Credentials SLP SPEECH THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 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 1861554222 NPPES
Other 10052439 AMERIGROUP
Other 339855 AMERIGROUP
MEDICAID 00929596A AMERIGROUP
Other 52068699001 AMERIGROUP
Other 4038426 AMERIGROUP

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