Individual
KELLY KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1871 NE STEPHENS ST, ROSEBURG, OR 97470-1433
(541) 440-4777
Mailing address
1871 NE STEPHENS ST, ROSEBURG, OR 97470-1433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17984
OR
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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