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Individual

KELLY WAMPLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7424 SHADELAND STATION WAY, INDIANAPOLIS, IN 46256-3925
(317) 288-7606
Mailing address
7424 SHADELAND STATION WAY, INDIANAPOLIS, IN 46256-3925

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004707A
IN

Other

Enumeration date
05/08/2014
Last updated
05/08/2014
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