Shadwick, Kelly Courtney

Shadwick, Kelly Courtney is an individual health care provider with primary practice located at 2817 Rock Meritt Ave , Fort Liberty NC 28310-1182. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Shadwick, Kelly Courtney can be contacted via phone (910) 907-6982.

Contact Information

Primary practice address
2817 Rock Meritt Ave Fort Liberty NC 28310-1182
Phone: (910) 907-6982
Fax: (803) 328-1865
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 12332 North Carolina

Profile Details

NPI number 1952614950
LBN Legal business name Shadwick, Kelly Courtney
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2010
Last updated Mar 28th, 2024 - about 2 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 1952614950 NPPES
North Carolina Other 19QFR BCBSNC
North Carolina Other 1456498 BCBSNC
North Carolina MEDICAID SA1792 BCBSNC

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