Organization
EKU SPEECH-LANGUAGE-HEARING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLIE ELLIS M.A. CCC-SLP (CLINIC DIRECTOR)
(859) 622-1860
Entity
Organization
Contact information
Practice address
521 LANCASTER AVENUE, EKU, WALLACE 278, RICHMOND, KY 40475
(859) 622-4444
(859) 622-2247
Mailing address
521 LANCASTER AVENUE, EKU, WALLACE 278, RICHMOND, KY 40475
(859) 622-4444
(859) 622-2247
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2930
KY
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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