West, Kelly Nicole

West, Kelly Nicole is an sole proprietor health care provider with primary practice located at 32201 S 655 Rd , Grove OK 74344-7647. 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. West, Kelly Nicole can be contacted via phone (918) 964-1921.

Contact Information

Primary practice address
32201 S 655 Rd Grove OK 74344-7647
Phone: (918) 964-1921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3608 Oklahoma

Profile Details

NPI number 1467763490
LBN Legal business name West, Kelly Nicole
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2010
Last updated Feb 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467763490 NPPES
Oklahoma MEDICAID 200306270A

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