Kelley Stork

NPI #1194292334 in Peoria, Illinois

Provider Information

NPI Number
1194292334
Entity Type
Individual
Name
Kelley Stork
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Oct 25, 2018
Last Updated
Oct 25, 2018

Practice Location

Address
807 W COLUMBIA TERRACE
City
Peoria
ZIP Code
61606
Phone
(309) 682-2693

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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