Individual
KELLI LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
9041 EXECUTIVE PARK DR, SUITE 126, KNOXVILLE, TN 37923-4621
(865) 693-5622
(865) 769-0801
Mailing address
9041 EXECUTIVE PARK DR, SUITE 126, KNOXVILLE, TN 37923-4621
(319) 541-8116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5553
TN
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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