Individual
KELLY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 BILLERBECK ST, NEW OXFORD, PA 17350-9375
(717) 235-8673
Mailing address
1850 SORREL RIDGE RD, NEW FREEDOM, PA 17349-8723
(717) 235-7725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL003147L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019319960003
—
PA
Enumeration date
07/10/2008
Last updated
07/10/2008
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