Individual
KELLY ISALY-JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4600 BUSINESS PARK BLVD # D24, ANCHORAGE, AK 99503-7142
(907) 561-1478
(888) 552-1720
Mailing address
4600 BUSINESS PARK BLVD # D24, ANCHORAGE, AK 99503-7142
(907) 561-1478
(888) 552-1720
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
498
AK
235Z00000X
Speech-Language Pathologist
9691
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1573524
—
AK
Enumeration date
06/04/2014
Last updated
04/26/2018
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