Individual
KELSI KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6533 PETERS CREEK RD, ROANOKE, VA 24019-4045
(540) 561-8165
Mailing address
3158 BERRY LN APT 83, ROANOKE, VA 24018-6317
(304) 553-4499
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202011776
VA
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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