Individual
KELLY A LYNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4100 E MISSISSIPPI AVE STE 1250, DENVER, CO 80246-3047
(303) 749-0424
Mailing address
2109 S OGDEN ST # 4, DENVER, CO 80210-4522
(608) 516-5809
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3773-154
WI
235Z00000X
Speech-Language Pathologist
SLP.0003226
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3773-154
WI-STATE LICENSE
WI
01
—
SLP.0003226
CO STATE LICENSE
CO
Enumeration date
06/25/2013
Last updated
04/11/2023
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