Pyle, Kelly R

Pyle, Kelly R is an individual health care provider with primary practice located at 275 S. University Street 211 Rachel Cooper, Normal IL 61761. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Pyle, Kelly R can be contacted via phone (309) 438-8641.

Contact Information

Primary practice address
275 S. University Street 211 Rachel Cooper Normal IL 61761
Fax: (309) 438-5221
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147-001024 Illinois

Profile Details

NPI number 1053330613
LBN Legal business name Pyle, Kelly R
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Sep 12th, 2012 - about 13 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 1053330613 NPPES
Other 207414 MEDICARE GROUP NO.

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