Individual
KELLY BENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13395 VOYAGER PKWY STE 130-861, COLORADO SPRINGS, CO 80921-7676
(000) 000-0000
Mailing address
13395 VOYAGER PKWY STE 130-861, COLORADO SPRINGS, CO 80921-7676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP1666
AZ
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518098870
NATIONAL PROVIDER IDENTIFIER (NPI)
—
05
—
639891
—
AZ
Enumeration date
03/08/2007
Last updated
12/15/2023
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