Individual
MS. HARLEY BELLE KINCHELOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
919 CODY AVE, CODY, WY 82414-4115
(307) 587-4251
Mailing address
1521 GULCH ST, CODY, WY 82414-9335
(406) 861-8021
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1220
WY
Other
Enumeration date
04/11/2022
Last updated
08/22/2022
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