Individual
KELLY FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
23 W CENTER ST, MADISONVILLE, KY 42431-1941
(270) 452-2835
(270) 452-2758
Mailing address
23 W CENTER ST, MADISONVILLE, KY 42431-1941
(270) 452-2835
(270) 452-2758
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2636
KY
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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