Kelly Klevorn in Saint Louis - Speech-language Pathologist
Kelly Klevorn - NPI 1639200900
Kelly Klevorn is a Speech-language Pathologist in Saint Louis, Missouri. Kelly Klevorn practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kelly Klevorn is 1639200900. The last update date is 2007-07-08.
Kelly Klevorn's current location address is 12110 Clayton Rd, Saint Louis, Missouri. You can contact this provider via phone number 3149898150. The mailing address for Kelly Klevorn is 12110 Clayton Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Klevorn |
|---|---|
| Address | 12110 Clayton Rd, Saint Louis, Missouri |
| Phone Number | 3149898150 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1639200900 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12110 Clayton Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631312516 |
| Phone Number | 3149898150 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2002030227 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique 10-digit identification code assigned to Kelly Klevorn by the Centers for Medicare & Medicaid Services?
The Kelly Klevorn has been issued the NPI (National Provider Identifier) 1639200900, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kelly Klevorn?
The Kelly Klevorn is situated at 12110 Clayton Rd, in the city of Saint Louis, state of MO, with the zip code 631312516.
What is the Kelly Klevorn's specialty and taxonomy code?
The Kelly Klevorn's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639200900 to Kelly Klevorn?
The Centers for Medicare & Medicaid Services assigned the 1639200900 to Kelly Klevorn on 2007-03-08.
As of what date was the information pertaining to Kelly Klevorn, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly Klevorn, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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