Individual
KELLY BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2575 N DRAKE RD, KALAMAZOO, MI 49006-1358
(269) 342-0206
(269) 342-6103
Mailing address
2575 N DRAKE RD, KALAMAZOO, MI 49006-1358
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
L2539203
MI
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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