Kellie Banta, MA-ED CCC-SLP
NPI #1134750102 in Cold Spring, Kentucky
Provider Information
- NPI Number
- 1134750102
- Entity Type
- Individual
- Name
- Kellie Banta, MA-ED CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA-ED CCC-SLP
- Enumeration Date
- Jan 29, 2020
- Last Updated
- Jan 29, 2020
Practice Location
- Address
- 3699 ALEXANDRIA PIKE STE D
- City
- Cold Spring
- State
- Kentucky
- ZIP Code
- 41076-1789
- Phone
- (859) 572-0430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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