Individual
ELLEN ELIZABETH KILKENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1099 MOUNT HOPE LN, O FALLON, MO 63366-1000
(636) 240-9484
Mailing address
21 ALFRESCO DR, MANCHESTER, MO 63021-5518
(314) 616-3443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019023571
MO
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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