Individual
KELLY KISH-LANDAAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
4464 WOOD DUCK CT, LINDEN, MI 48451-8410
(203) 232-1924
Mailing address
4464 WOOD DUCK CT, LINDEN, MI 48451-8410
(203) 232-1924
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146.009705
IL
235Z00000X
Speech-Language Pathologist
Primary
7101000037
MI
Other
Enumeration date
03/08/2011
Last updated
03/15/2015
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