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Individual

KELSEY GRIFFITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
71 ORPHANAGE RD, FORT MITCHELL, KY 41017
(859) 331-0880
Mailing address
71 ORPHANAGE RD, FT MITCHELL, KY 41017-3006

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10702
CA
235Z00000X
Speech-Language Pathologist
Primary
242040
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100551920
KY
Enumeration date
05/28/2017
Last updated
06/11/2024
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