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Individual

KELLYE ANN WEDDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC

Contact information

Practice address
113 STONEWALL PATH, GEORGETOWN, KY 40324-8661
(502) 803-6771
Mailing address
113 STONEWALL PATH, GEORGETOWN, KY 40324-8661

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0822
KY

Other

Enumeration date
03/04/2026
Last updated
03/04/2026
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