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Individual

MRS. KELLY ANN DECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.CCC-SLP

Contact information

Practice address
105 DECKER FARM RD, CANEYVILLE, KY 42721-8721
(270) 246-1987
Mailing address
105 DECKER FARM RD, CANEYVILLE, KY 42721-8721
(270) 246-1987

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY

Other

Enumeration date
09/01/2021
Last updated
07/01/2022
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