Individual
MRS. LISA S KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3901 RAINBOW BLVD MSC 3010, KANSAS CITY, KS 66160-0001
(913) 588-6719
Mailing address
5532 MAPLE ST, MISSION, KS 66202-1934
(913) 831-6143
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2307
KS
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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