Individual
MRS. KELLIE ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2616 N RIDGEWOOD CT, WICHITA, KS 67220-4211
(316) 558-2585
Mailing address
2616 N RIDGEWOOD CT, WICHITA, KS 67220-4211
(316) 558-2585
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14301570
KS
Other
Enumeration date
08/07/2025
Last updated
08/11/2025
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