Individual
MRS. JENNIFER L. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
555 ANTHONY WAYNE TRAIL, WATERVILLE, OH 43566
(419) 878-3901
(419) 878-6872
Mailing address
555 ANTHONY WAYNE TRAIL, WATERVILLE, OH 43566
(419) 878-3901
(419) 878-6872
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP7951
OH
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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