Individual
KELSEY PRAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 E 19TH ST, INDIANAPOLIS, IN 46202-1735
(317) 226-4227
Mailing address
4716 ROUND LAKE RD APT I, INDIANAPOLIS, IN 46205-2386
(269) 491-3444
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008339A
IN
235Z00000X
Speech-Language Pathologist
TSLP13140
AZ
Other
Enumeration date
08/10/2021
Last updated
10/11/2024
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