Individual
KELSEY GREEN FULLENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
810 E COLUMBIA AVE, READING, OH 45215-3930
(513) 842-5100
Mailing address
810 E COLUMBIA AVE, READING, OH 45215-3930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.2014281-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.11690
OH
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/24/2014
Last updated
10/22/2020
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