Reavis, Kelly Marie

Reavis, Kelly Marie is an individual health care provider with primary practice located at 5842 E Naples Plz , Long Beach CA 90803-5039. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Reavis, Kelly Marie can be contacted via phone (562) 439-9539.

Contact Information

Primary practice address
5842 E Naples Plz Long Beach CA 90803-5039
Phone: (562) 439-9539
Fax: (562) 439-2232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU2627 California

Profile Details

NPI number 1467618991
LBN Legal business name Reavis, Kelly Marie
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2008
Last updated Aug 4th, 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 1467618991 NPPES
California Other 2627 AUDIOLOGIST LICENSE

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