Phillips, Kelly

Phillips, Kelly is an individual health care provider with primary practice located at 713 E Shotwell St , Bainbridge GA 39819-4063. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Phillips, Kelly can be contacted via phone (229) 246-4088.

Contact Information

Primary practice address
713 E Shotwell St Bainbridge GA 39819-4063
Phone: (229) 246-4088
Fax: (229) 243-0200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLP003034 Georgia

Profile Details

NPI number 1932169489
LBN Legal business name Phillips, Kelly
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jul 9th, 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 1932169489 NPPES
Georgia MEDICAID 00919718A

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