Wagner, Kelly Anne
Wagner, Kelly Anne is an individual health care provider with primary practice located at 331 E Park St , Weiser ID 83672-2053. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wagner, Kelly Anne can be contacted via phone (208) 549-0206.Contact Information
Primary practice address
331 E Park St
Weiser ID 83672-2053
Phone: (208) 549-0206
Fax: (208) 549-0536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | TSLP-2301 | Idaho |
Profile Details
| NPI number | 1235562307 |
|---|---|
| LBN Legal business name | Wagner, Kelly Anne |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2013 |
| Last updated | Aug 13th, 2013 - 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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