Provider Demographics
NPI:1396522165
Name:SOLES, KELLY MARIE (CF-SLP)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:MARIE
Last Name:SOLES
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17661 NW 89TH CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-6671
Mailing Address - Country:US
Mailing Address - Phone:305-989-2350
Mailing Address - Fax:
Practice Address - Street 1:18822 NW 80TH CT
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-5228
Practice Address - Country:US
Practice Address - Phone:305-440-0785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist