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Individual
KELLY L MONDRY
Active
Individual
KELLY L MONDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
758
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20604
NDBS #
ND
01
—
43G43MO
MNBS #
ND
01
—
4600417
MEDICA #
ND
01
—
4600418
MEDICA #
ND
05
—
52515
—
ND
01
—
HP33433
HEALTHPARTNERS #
ND
Enumeration date
07/10/2006
Last updated
07/09/2007
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