Individual
KERILYN PANDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
16120 NE 8TH ST, BELLEVUE, WA 98008-3937
(425) 653-4308
Mailing address
16120 NE 8TH ST, BELLEVUE, WA 98008-3937
(425) 653-4308
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002828
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7018120
—
WA
Enumeration date
03/21/2007
Last updated
07/08/2007
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