Individual
KRISTEN ALICE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 S OLD 3C RD, SUNBURY, OH 43074-8903
(740) 965-3902
Mailing address
940 S OLD 3C RD, SUNBURY, OH 43074-8903
(740) 965-3902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20211845-SP
OH
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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