Individual
MS. STEPHANIE ANN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
601 10TH STREET SOUTH, COLUMBUS, MS 39701-5800
(662) 329-7270
Mailing address
1100 COLLEGE STREET, MUW 1340, COLUMBUS, MS 39701-5800
(662) 329-7270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2218
MS
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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