| NPI | 1225900822 |
|---|---|
| Former Name | KELCI CARRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.018603) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2021018669) |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-10-24 |