Individual
MS. KELLI JEAN INNIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1920 FONTAINE RD, LEXINGTON, KY 40502-1942
(419) 306-2016
Mailing address
1920 FONTAINE RD, LEXINGTON, KY 40502-1942
(419) 306-2016
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-3504
KY
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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