Individual
MRS. KELLI DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-6745
(913) 588-4676
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-6701
(913) 588-6677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3800
KS
Other
Enumeration date
06/09/2015
Last updated
03/20/2019
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