Individual
MRS. KELSEY KEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
14425 N 28TH ST, PHOENIX, AZ 85032-4956
(509) 991-6465
Mailing address
14425 N 28TH ST, PHOENIX, AZ 85032-4956
(509) 991-6465
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP8351
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847239
—
AZ
Enumeration date
08/29/2013
Last updated
03/26/2024
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