Willis, Kaci Dawn

Willis, Kaci Dawn is an sole proprietor health care provider with primary practice located at 110 Willis Spring Rd , Eagletown OK 74734-3413. 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. Willis, Kaci Dawn can be contacted via phone (870) 784-1147.

Contact Information

Primary practice address
110 Willis Spring Rd Eagletown OK 74734-3413
Phone: (870) 784-1147
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#P9074 Arkansas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 112453 Texas

Profile Details

NPI number 1053857722
LBN Legal business name Willis, Kaci Dawn
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2017
Last updated Jan 18th, 2017 - about 9 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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