Individual
KELSEY AGNEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPD, CCC-SLP
Contact information
Practice address
10459 PARKER DR, OLIVE BRANCH, MS 38654-6898
(662) 397-2126
Mailing address
10459 PARKER DR, OLIVE BRANCH, MS 38654-6898
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-4590
MS
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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