Individual
MISS KELLY E RUNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
51 SOUTHLAND DR, SUITE 2300, FAIRMONT, WV 26554-2244
(304) 363-3167
(304) 363-1725
Mailing address
51 SOUTHLAND DR, SUITE 2300, FAIRMONT, WV 26554-2244
(304) 363-3167
(304) 363-1725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1313
WV
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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