Individual
JODY LEHUA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
65 MELBOURNE AVE SE, MINNEAPOLIS, MN 55414-3513
(808) 393-6902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528346
MN
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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