Individual
KAELYN NOELLE SPOWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 NEVILLE DR, LOUISVILLE, KY 40216-3820
(502) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
279079
KY
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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