Individual
KELLIE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 WAKULLA AVE, PANAMA CITY, FL 32405-7085
(850) 819-9910
Mailing address
2708 WAKULLA AVE, PANAMA CITY, FL 32405-7085
(850) 819-9910
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI5602
FL
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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