Individual
KELLEY LYNNE GILLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
3701 LANDSDOWNE DR, ASHLAND, KY 41102-5422
(606) 324-3005
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
172728
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172728
KENTUCKY BOARD OF SPEECH AND LANGUAGE PATHOLOGY
KY
Enumeration date
11/25/2008
Last updated
06/05/2017
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