Individual
KELLIE VAUGHAN REMINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3650 GRAFTON RD, BRUNSWICK, OH 44212-1804
(330) 273-0485
Mailing address
3650 GRAFTON RD, BRUNSWICK, OH 44212-1804
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2017227-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP-12989
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1564187
—
OH
Enumeration date
05/17/2017
Last updated
08/20/2024
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