Individual
KELLY SUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2815 NEW PINERY RD, PORTAGE, WI 53901-9257
(608) 745-6420
Mailing address
7421 W VALLEY RIDGE DR, MADISON, WI 53719-2359
(414) 793-2933
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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