Individual
KELLI ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0617
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154076000
—
WV
Enumeration date
01/10/2008
Last updated
01/10/2008
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