| NPI | 1508829052 |
|---|---|
| Former Legal Business Name | SHANA KELLY MD CCC-SLP |
| Entity Type | Organization |
| Authorized Contact | SHANA L KELLY Owner/Slp 206-299-1780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003194) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2015-03-02 |