Individual
KELLY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4725 S COLONIAL OAKS DR, MARION, IN 46953-5341
(765) 674-9791
Mailing address
13390 ILLINOIS ST, CARMEL, IN 46032-3143
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002698A
IN
Other
Enumeration date
09/20/2014
Last updated
05/28/2021
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