Individual
KALINA GRACE KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1531 E BRADFORD PKWY STE 210-4, SPRINGFIELD, MO 65804-6539
(417) 881-9500
Mailing address
519 S MAIN AVE, SPRINGFIELD, MO 65806-2019
(314) 223-8514
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2024032758
MO
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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