Kelly Sparks in Yukon - Speech-language Pathologist
Kelly Sparks - NPI 1073732947
Kelly Sparks is a Speech-language Pathologist in Yukon, Oklahoma. Kelly Sparks practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kelly Sparks is 1073732947. The last update date is 2007-07-08.
Kelly Sparks's current location address is 4928 Cinderwood Dr, Yukon, Oklahoma. You can contact this provider via phone number 4053502654. The mailing address for Kelly Sparks is 4928 Cinderwood Dr, Yukon, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Sparks |
|---|---|
| Address | 4928 Cinderwood Dr, Yukon, Oklahoma |
| Phone Number | 4053502654 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MACCCSLP |
NPI Number Detail
| NPI Number | 1073732947 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4928 Cinderwood Dr |
|---|---|
| City | Yukon |
| State | Oklahoma (OK) |
| Post Code | 730992118 |
| Phone Number | 4053502654 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2975 |
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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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What is the unique identifier code issued to Kelly Sparks by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly Sparks has been assigned the NPI (National Provider Identifier) 1073732947. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Kelly Sparks located?
The Kelly Sparks is located at 4928 Cinderwood Dr, Yukon, OK 730992118.
What is the Kelly Sparks's area of specialization and corresponding taxonomy classification?
The Kelly Sparks's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1073732947 to Kelly Sparks?
The Kelly Sparks received its 1073732947 assignment from the Centers for Medicare & Medicaid Services on 2007-04-25.
When was the information related to Kelly Sparks most recently updated or refreshed?
The details pertaining to the Kelly Sparks, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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