Individual
KELBY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
8072 S IRELAND WAY, AURORA, CO 80016-1906
(720) 620-0535
Mailing address
8072 S IRELAND WAY, AURORA, CO 80016-1906
(720) 620-0535
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0000937
CO
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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