Individual
JEANNINE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
100 HIGH POINT DR, KANE, PA 16735-9704
(814) 837-6706
Mailing address
PO BOX 335, MOUNT JEWETT, PA 16740-0335
(814) 558-0633
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSL001506
PA
Other
Enumeration date
05/17/2021
Last updated
11/07/2023
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