Shannon Kelly
NPI #1588018899 in Kings Park, New York
Provider Information
- NPI Number
- 1588018899
- Entity Type
- Individual
- Name
- Shannon Kelly
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Apr 22, 2016
- Last Updated
- Apr 22, 2016
Practice Location
- Address
- 37 WESTWOOD LN
- City
- Kings Park
- State
- New York
- ZIP Code
- 11754-5122
- Phone
- (631) 672-6934
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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