Individual
KELLY STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 E LIVINGSTON AVE, COLUMBUS, OH 43205-2672
(614) 365-5527
Mailing address
825 E LIVINGSTON AVE, COLUMBUS, OH 43205-2672
(614) 365-5527
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND. 2013314
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.11276
OH
Other
Enumeration date
02/28/2014
Last updated
08/15/2022
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