Individual
MRS. KEELY MARIE PERKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
6410 OLD MAIN HL, LOGAN, UT 84322-6410
(435) 797-4200
Mailing address
1308 E 480 S, HYRUM, UT 84319-7116
(801) 390-2083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9404283-4102
UT
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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