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Organization

THE KID SPOT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE ELIZABETH TRAVIS M.S., CF-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(270) 576-1610
Entity
Organization

Contact information

Practice address
121 CASEY ST STE A, CAMPBELLSVILLE, KY 42718-6858
(270) 465-7768
(270) 465-0068
Mailing address
121 CASEY ST STE A, CAMPBELLSVILLE, KY 42718-6858
(270) 465-7768
(270) 465-0068

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPINP00216172
KY

Other

Enumeration date
06/02/2015
Last updated
06/02/2015
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