Premo, Kelly Jo

Premo, Kelly Jo is an sole proprietor health care provider with primary practice located at 118 Westside Dr , Ballston Lake NY 12019-2028. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is her primary health care specialty. Premo, Kelly Jo can be contacted via phone (518) 424-7971.

Contact Information

Primary practice address
118 Westside Dr Ballston Lake NY 12019-2028
Phone: (518) 424-7971
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 022776-1 New York
Agencies / Early Intervention Provider Agency 252Y00000X 022776-1 New York

Profile Details

NPI number 1891117990
LBN Legal business name Premo, Kelly Jo
Credentials M.S. CCC SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2014
Last updated Apr 14th, 2020 - about 6 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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