Individual
ALEXIS KELLAM JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95-1330 LEHIWA DR, MILILANI, HI 96789-6577
(808) 626-2980
Mailing address
95-1330 LEHIWA DR, MILILANI, HI 96789-6577
(808) 626-2980
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
HI
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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