Prendergast, Kelley

Prendergast, Kelley is an sole proprietor health care provider with primary practice located at 3714 Cypress St , West Monroe LA 71291-7435. 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. Prendergast, Kelley can be contacted via phone (318) 322-8974.

Contact Information

Primary practice address
3714 Cypress St West Monroe LA 71291-7435
Phone: (318) 322-8974
Fax: (318) 322-8290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5894 Louisiana

Profile Details

NPI number 1275704066
LBN Legal business name Prendergast, Kelley
Credentials Surgical Technician (ST)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2008
Last updated Mar 19th, 2008 - about 18 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 1275704066 NPPES
Louisiana Other 5894 SPEECH THERAPIST LICENSE

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