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Contact Information

KELLY BOETTCHER
1309 KEMPSVILLE RD
NORFOLK, VA23502-2205
 Phone: 757-633-3327
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for KELLY BOETTCHER · (Female)

NPI Number 1083430979
Status Active
Credentials
Entity Individual
Enumeration date 11/25/2024
Last updated 11/25/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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