Kelly Lyn Bullock in Sandy - Speech-language Pathologist
Kelly Lyn Bullock - NPI 1568627347
Kelly Lyn Bullock is a Speech-language Pathologist in Sandy, Utah. Kelly Lyn Bullock practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kelly Lyn Bullock is 1568627347. The last update date is 2011-12-22.
Kelly Lyn Bullock's current location address is 870 E 9400 S, Sandy, Utah. You can contact this provider via phone number 8018404361. The mailing address for Kelly Lyn Bullock is 870 E 9400 S, Sandy, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Lyn Bullock |
|---|---|
| Address | 870 E 9400 S, Sandy, Utah |
| Phone Number | 8018404361 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | SLP |
NPI Number Detail
| NPI Number | 1568627347 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2011-12-22 |
Provider Mailing Address Detail
| Address | 870 E 9400 S |
|---|---|
| City | Sandy |
| State | Utah (UT) |
| Post Code | 840943666 |
| Phone Number | 8018404361 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 6975681-4102 |
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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 10-digit identifier code issued to Kelly Lyn Bullock by the Centers for Medicare & Medicaid Services?
The Kelly Lyn Bullock has been assigned the NPI (National Provider Identifier) 1568627347 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kelly Lyn Bullock?
The Kelly Lyn Bullock is physically situated at 870 E 9400 S, in the city of Sandy, state of UT, with the postal code 840943666.
What is Kelly Lyn Bullock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Lyn Bullock'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 the Kelly Lyn Bullock receive the assignment of its 1568627347 from the Centers for Medicare & Medicaid Services?
The Kelly Lyn Bullock was issued its 1568627347 by the Centers for Medicare & Medicaid Services on 2008-07-22.
When was the information related to Kelly Lyn Bullock most recently updated or refreshed?
The details pertaining to the Kelly Lyn Bullock, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-12-22.