Individual
KAY A. ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
2052 13TH AVE W, SHAKOPEE, MN 55379-1916
(952) 445-1688
Mailing address
2052 13TH AVE W, SHAKOPEE, MN 55379-1916
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5547
MN
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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