Individual
KELSEY LYNN FENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10631 S 51ST ST STE 8, PHOENIX, AZ 85044-5225
(480) 398-4280
Mailing address
PO BOX 50218, PHOENIX, AZ 85076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP8895
AZ
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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