Individual
KELSEY FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
8400 BARSTOW ST NE, ALBUQUERQUE, NM 87122-2832
(505) 857-9282
(505) 848-9468
Mailing address
6400 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4202
(505) 857-9282
(505) 848-9468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6197
NM
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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