Individual
MRS. KELLY KAY KNOLLMAN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCSLP
Contact information
Practice address
2 BACHELOR HALL, OXFORD, OH 45056-3414
(513) 529-2500
(513) 529-2502
Mailing address
4567 EAST KITCHEL RD, LIBERTY, IN 47353
(765) 458-6501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
03/09/2010
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