Individual
KELCI LYNN FETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 6TH ST, NEVADA, IA 50201-2266
(515) 382-2543
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002352
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002352
STATE LICENSE NUMBER
IA
Enumeration date
05/30/2013
Last updated
10/18/2024
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