Individual
MRS. KELLY JEAN PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2502 S 14TH ST, MANITOWOC, WI 54220-6499
(920) 663-9311
Mailing address
4838 W CUSTER ST, MANITOWOC, WI 54220-9309
(920) 663-9311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
711784
WI
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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