Kelly Matthews in Ft Oglethorpe - Speech-language Pathologist

Kelly Matthews - NPI 1861554222

Kelly Matthews is a Speech-language Pathologist in Ft Oglethorpe, Georgia. Kelly Matthews practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kelly Matthews is 1861554222. The last update date is 2007-07-08.

Kelly Matthews's current location address is 118 Herron Street, Ft Oglethorpe, Georgia. You can contact this provider via phone number 7068617471 and fax number 7068617472. The mailing address for Kelly Matthews is 118 Herron Street, Ft Oglethorpe, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Matthews
Address 118 Herron Street, Ft Oglethorpe, Georgia
Phone Number 7068617471
Fax Number 7068617472
Sole Proprietor N
Credentials SLP SPEECH

NPI Number Detail

NPI Number 1861554222
Provider Enumeration Date 2006-12-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 118 Herron Street
City Ft Oglethorpe
State Georgia (GA)
Post Code 30742
Phone Number 7068617471
Fax Number 7068617472

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No SLP004877
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10052439 AMERIGROUP
339855 WELLCARE
00929596A GA --
52068699001 GA BCBS
4038426 TN BCBS

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FAQs about Kelly Matthews

What is the unique identifier code issued to Kelly Matthews by the Centers for Medicare & Medicaid Services (CMS)?

The Kelly Matthews has been assigned the NPI (National Provider Identifier) 1861554222. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Kelly Matthews is physically located?

The Kelly Matthews is situated at the following address: 118 Herron Street, Ft Oglethorpe, GA 30742.

What is Kelly Matthews's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kelly Matthews's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.

On what date did Kelly Matthews receive its 1861554222 assignment from the Centers for Medicare & Medicaid Services?

The Kelly Matthews was assigned its 1861554222 on 2006-12-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Kelly Matthews most recently updated or refreshed?

The details pertaining to the Kelly Matthews, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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