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Organization

SPEECH BY KELLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY BECKNER (OWNER)
(540) 524-2058
Entity
Organization

Contact information

Practice address
4903 STARKEY RD STE 200D, ROANOKE, VA 24018-8525
(540) 524-2058
Mailing address
1215 CORPORATE CIR SW STE 201, ROANOKE, VA 24018-1400
(540) 312-7066

Taxonomy

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

Other

Enumeration date
07/28/2020
Last updated
04/15/2024
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