Organization
KC MAC, LLC
Active
Other names
KC Mac Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA CAMILLE MCKELPHIN M.S., ED.S., CCC-SLP (PRESIDENT)
(240) 765-9380
Entity
Organization
Contact information
Practice address
7103 MURPHY CT, TEMPLE HILLS, MD 20748-5428
(240) 765-9380
Mailing address
7103 MURPHY CT, TEMPLE HILLS, MD 20748-5428
(240) 765-9380
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05262
MD
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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