Individual
KYNISHA CLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 CREEKSIDE DR, ELIZABETHTOWN, PA 17022-9230
(717) 689-3907
Mailing address
2627 LEXINGTON ST, HARRISBURG, PA 17110-2626
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011495
PA
Other
Enumeration date
09/01/2016
Last updated
02/24/2020
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