Individual
KAYLA M KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
(703) 913-8858
Mailing address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
(703) 913-8858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008504
VA
Other
Enumeration date
03/01/2013
Last updated
03/17/2018
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