Individual
KELLY J KIZIMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2203 NATIONAL RD, WHEELING, WV 26003-5203
(304) 231-3820
(304) 243-0440
Mailing address
2203 NATIONAL RD, WHEELING, WV 26003-5203
(304) 231-3820
(304) 243-0440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7402187000
—
WV
Enumeration date
06/21/2005
Last updated
11/06/2015
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