Individual
KATELYN AILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1838 BANBURY RD, KALAMAZOO, MI 49001-5204
(586) 557-1558
Mailing address
1838 BANBURY RD, KALAMAZOO, MI 49001-5204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000262
MI
Other
Enumeration date
07/14/2019
Last updated
07/14/2019
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