Corneta E. Kelley in Sierra Vista - Speech-language Pathologist
Corneta E. Kelley - NPI 1538242367
Corneta E. Kelley is a Speech-language Pathologist in Sierra Vista, Arizona. Corneta E. Kelley practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Corneta E. Kelley is 1538242367. The last update date is 2007-07-08.
Corneta E. Kelley's current location address is 2160 E Fry Blvd # 310, Sierra Vista, Arizona. You can contact this provider via phone number 5204598258 and fax number 5204598619. The mailing address for Corneta E. Kelley is 2160 E Fry Blvd # 310, Sierra Vista, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corneta E. Kelley |
|---|---|
| Address | 2160 E Fry Blvd # 310, Sierra Vista, Arizona |
| Phone Number | 5204598258 |
| Fax Number | 5204598619 |
| Sole Proprietor | Y |
| Credentials | M.A.,CCC-S |
NPI Number Detail
| NPI Number | 1538242367 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2160 E Fry Blvd # 310 |
|---|---|
| City | Sierra Vista |
| State | Arizona (AZ) |
| Post Code | 856352736 |
| Phone Number | 5204598258 |
| Fax Number | 5204598619 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SLP4673 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 968109 | AZ | AHCCCS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Corneta E. Kelley?
The Corneta E. Kelley has been issued the NPI (National Provider Identifier) 1538242367 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Corneta E. Kelley is geographically located?
The Corneta E. Kelley is physically situated at the following location: 2160 E Fry Blvd # 310, Sierra Vista, AZ, 856352736.
What is Corneta E. Kelley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Corneta E. Kelley is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
On what date did the Corneta E. Kelley receive its 1538242367 assignment from the Centers for Medicare & Medicaid Services?
The Corneta E. Kelley was assigned its 1538242367 by the Centers for Medicare & Medicaid Services on 2006-10-23.
When was the information regarding Corneta E. Kelley most recently updated?
The details pertaining to the Corneta E. Kelley, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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