Individual
KELLY D ANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPSGT
Contact information
Practice address
2101 DUBOIS DR, WARSAW, IN 46580-3210
(574) 372-5889
(574) 372-5889
Mailing address
2101 DUBOIS DR, WARSAW, IN 46580-3210
(574) 372-5889
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
24478
IN
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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