Smith, Kelli Pugh
Smith, Kelli Pugh is an individual health care provider with primary practice located at 901 Enterprise Pkwy Ste 300 , Hampton VA 23666-6249. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Smith, Kelli Pugh can be contacted via phone (757) 825-2500.Contact Information
Primary practice address
901 Enterprise Pkwy Ste 300
Hampton VA 23666-6249
Phone: (757) 825-2500
Fax: (757) 825-2521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AUD003627 | Virginia |
Profile Details
| NPI number | 1326035148 |
|---|---|
| LBN Legal business name | Smith, Kelli Pugh |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Apr 9th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326035148 | NPPES |
| Georgia | MEDICAID | 236186432A |
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