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Contact Information

KELSI BURKHOLDER, CCC-SLP
463155 SR 200 UNIT 12
YULEE, FL32097
 Phone: 904-849-1625
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for KELSI BURKHOLDER · (Female)

NPI Number 1386351328
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 10/31/2022
Last updated 10/31/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # SA20474
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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