| Doctor Name: | KELLI JO EVANS |
| NPI Number: | 1013218809 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, CCC-SLP |
| License Number: | 2865 |
| Business Practice Address: | 5721 Usa North Dr Hahn 1119 Mobile, AL - 366880002 |
| Business Phone Number: | 2514459378 |
| Business Fax Number: | 2514459377 |
| Mailing Address: | Po Box 40010, MOBILE |
| State: | AL |
| Postal Code: | 366400010 |
| Phone Number: | 2514459378 |
| Fax Number: | 2514459377 |
| NPI Enumeration Date: | 11/09/2010 |
| NPI Last Update Date: | 05/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2865 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |