Individual
KELLY YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4606 STONE LAKES DR, LOUISVILLE, KY 40299-7010
(502) 558-5512
Mailing address
4606 STONE LAKES DR, LOUISVILLE, KY 40299-7010
(502) 558-5512
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3828
KY
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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