Individual
KAYLA KETRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10001 COURTHOUSE RD, CHESTERFIELD, VA 23832-6655
(804) 768-6195
Mailing address
15231 BRAETON DR APT 302, MIDLOTHIAN, VA 23114-3296
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202011300
VA
235Z00000X
Speech-Language Pathologist
8122
TN
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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