Individual
KELLI R. MAEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2814 S BALTIMORE ST, KIRKSVILLE, MO 63501-4640
(660) 785-1834
(660) 785-1825
Mailing address
PO BOX C8502, KIRKSVILLE, MO 63501-8599
(660) 785-1834
(660) 785-1825
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006015441
MO
Other
Enumeration date
06/01/2009
Last updated
08/19/2009
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