| NPI | 1184977910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE ELLIS Clinic Director 859-622-1860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 2930) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |