Individual
KELLEY NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16022 116TH AVE SE, RENTON, WA 98058-5245
(425) 204-3365
Mailing address
3636 STONE WAY N APT 203R, SEATTLE, WA 98103-0101
(404) 422-2570
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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