Individual
JONATHAN ASHWORTH KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
1400 S ORANGE ST, LAFAYETTE, LA 70501-7530
(337) 521-7860
Mailing address
1316 SAINT JOHN ST, LAFAYETTE, LA 70506-3640
(318) 789-8312
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8217
LA
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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