Individual
MRS. KELLIE R. BRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10000 W 75TH ST, SUITE 250, MERRIAM, KS 66204-2209
(913) 894-1910
Mailing address
16903 CHUTNEY DR, OMAHA, NE 68136-1405
(402) 679-1158
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1602
NE
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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