Individual
KELSEY ELAINE RENOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7300 FOREST AVE, RICHMOND, VA 23226-3735
(571) 239-3104
Mailing address
3400 GROVE AVE APT 4, RICHMOND, VA 23221-2749
(571) 239-3104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000334
VA
Other
Enumeration date
04/04/2020
Last updated
04/04/2020
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