Individual
KRISTIN KELLEY IRMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC-SLP
Contact information
Practice address
916 PACIFIC AVE, INPATIENT REHABILITATION SERVICES, EVERETT, WA 98201-4147
(425) 258-8502
Mailing address
2639 NW 58TH ST, UNIT B, SEATTLE, WA 98107-3250
(847) 476-2666
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI60048289
WA
Other
Enumeration date
11/20/2008
Last updated
10/31/2011
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