| Doctor Name: | MATTHEW J KELKER |
| NPI Number: | 1245445436 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS CCC-SLP |
| License Number: | 3548 |
| Business Practice Address: | 780 S. Walnut, Bldg #7 Las Cruces, NM - 88001 |
| Business Phone Number: | 5055261161 |
| Business Fax Number: | 5055231108 |
| Mailing Address: | 2033 Pinetrail St, LAS CRUCES |
| State: | NM |
| Postal Code: | 880126004 |
| Phone Number: | 5053823622 |
| Fax Number: | 5055231108 |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3548 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| 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 |