Individual
KELLY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 PEPPARD AVE, CADIZ, OH 43907-1067
(740) 942-7800
Mailing address
730 PEPPARD AVE, CADIZ, OH 43907-1067
(740) 942-7800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP . 7244
OH
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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