Kelly Ann Diekemper

NPI #1285992560 in O Fallon, Illinois

Provider Information

NPI Number
1285992560
Entity Type
Individual
Name
Kelly Ann Diekemper
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Apr 24, 2012
Last Updated
Mar 18, 2013

Practice Location

Address
634 N MAIN ST STE 3
ZIP Code
62269-3746
Phone
(618) 632-4222

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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