Individual
MRS. KELLY E PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
118 COLLEGE DR, #10035, HATTIESBURG, MS 39406-0001
(601) 266-5223
(601) 266-6763
Mailing address
27 KNOLLWOOD LN, PURVIS, MS 39475-3468
(985) 705-6962
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3529
AL
235Z00000X
Speech-Language Pathologist
Primary
S2001
MS
Other
Enumeration date
08/06/2012
Last updated
08/28/2013
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