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KELLY L OTT

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1831404391

Individual Registrant:
 KELLY L OTT 
Gender: F
Sole Proprietor

Location and contact information for practice:
12466 HIGHWAY 24  MADISON, MO 65263-2150 US
Tel: 660-291-8102  Fax: 660-291-5338

Contact information for business:
12466 HIGHWAY 24  MADISON, MO 65263-2150 US
Tel: --  Fax: --

Registration Information:
NPI: 1831404391
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
MOHE108783

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MO - Page 1



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