Individual
MRS. HOLLY MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8700 E 29TH ST N, WICHITA, KS 67226-2169
(316) 634-8710
Mailing address
8700 E 29TH ST N, WICHITA, KS 67226-2169
(316) 634-8710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4486
KS
235Z00000X
Speech-Language Pathologist
608
NE
Other
Enumeration date
02/28/2018
Last updated
06/06/2019
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