Van De Wyngaerde, Kelly Marie
Van De Wyngaerde, Kelly Marie is an individual health care provider with primary practice located at 1650 Cochrane Cir , Fort Carson CO 80913. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Van De Wyngaerde, Kelly Marie can be contacted via phone (719) 524-6398.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | Colorado |
Profile Details
| NPI number | 1174043988 |
|---|---|
| LBN Legal business name | Van De Wyngaerde, Kelly Marie |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2017 |
| Last updated | May 20th, 2018 - about 8 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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