Individual
KELLY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS., CCC-SLP, ATP
Contact information
Practice address
200 BRUCE AVE, PADUCAH, KY 42001-6731
(270) 554-8948
Mailing address
200 BRUCE AVE, PADUCAH, KY 42001-6731
(270) 554-8948
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
140155
KY
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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