Individual
KELLY MARIE BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, SUITE 201, SAINT LOUIS, MO 63146-3209
(866) 433-9555
Mailing address
23 MONTAUK DR, SAINT LOUIS, MO 63146-4946
(314) 276-6790
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007001547
MO
Other
Enumeration date
04/07/2008
Last updated
08/07/2012
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