Individual
MR. CHRISTOPHER N KELLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TSLP
Contact information
Practice address
3233 W PEORIA AVE, SUITE 224, PHOENIX, AZ 85029-4614
(602) 866-2231
(602) 866-2261
Mailing address
921 W FORDHAM DR, TEMPE, AZ 85283-2841
(260) 414-2366
(602) 866-2261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP5360
AZ
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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