Individual
JENNA ROSE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9302 N MERIDIAN ST STE 340, INDIANAPOLIS, IN 46260-1843
(317) 296-3838
Mailing address
9302 N MERIDIAN ST STE 340, INDIANAPOLIS, IN 46260-1843
(317) 296-3838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46004612A
IN
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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