Individual
MS. KATE ELIZABETH KELLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
110 PIPEMAKERS CIR STE 115, POOLER, GA 31322
(912) 988-1526
Mailing address
110 PIPEMAKERS CIR STE 115, POOLER, GA 31322-4168
(912) 988-1526
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002683
GA
Other
Enumeration date
09/05/2013
Last updated
05/31/2018
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