Individual
KELSEY ELAINE RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5275 REDTAIL DR, ASHLAND, MO 65010-2102
(573) 657-2147
Mailing address
4908 LONGBOW DR, COLUMBIA, MO 65201-5113
(573) 819-4339
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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