Individual
KELLY MARIE KUEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
12550 AURORA AVE N, SEATTLE, WA 98133-8036
(206) 363-7303
Mailing address
12550 AURORA AVE N, SEATTLE, WA 98133-8036
(206) 826-1096
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60490706
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29577039
—
CO
01
—
649046
ANTHEM
—
Enumeration date
03/27/2007
Last updated
05/25/2022
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