Individual
KELLI OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4055 N PARK LOOP, MEMPHIS, TN 38152-4220
(901) 678-2009
(901) 678-5497
Mailing address
850 POPLAR AVE BLDG 2, MEMPHIS, TN 38105-4607
(901) 287-5565
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5147
TN
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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