Individual
KELSEY JO BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2248
Mailing address
2451 E WILLOW, REPUBLIC, MO 65738-7576
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020019035
MO
Other
Enumeration date
08/14/2020
Last updated
05/03/2024
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