Individual
KELLIMAE C PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1148 MOUNT GILEAD RD, TOMPKINSVILLE, KY 42167-7101
(270) 407-9278
Mailing address
1148 MOUNT GILEAD RD, TOMPKINSVILLE, KY 42167-7101
(270) 407-9278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
271619
KY
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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