Individual
MRS. KELLIE ANN BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4352 LEMONWOOD CT, BATON ROUGE, LA 70805-1464
(225) 328-0661
Mailing address
4352 LEMONWOOD CT, BATON ROUGE, LA 70805-1464
(225) 328-0661
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3822
LA
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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