Individual
MRS. KELLY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2611 S LEES SUMMIT RD, INDEPENDENCE, MO 64055
(816) 521-5510
Mailing address
2611 S LEES SUMMIT RD, INDEPENDENCE, MO 64055-1940
(816) 521-5510
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004022985
MO
Other
Enumeration date
09/24/2010
Last updated
07/18/2018
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