Doctor Name: | MISS KELLY E RUNION |
NPI Number: | 1831467216 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 1313 |
Business Practice Address: | 51 Southland Dr Suite 2300 Fairmont, WV - 265542244 |
Business Phone Number: | 3043633167 |
Business Fax Number: | 3043631725 |
Mailing Address: | 51 Southland Dr, Suite 2300 FAIRMONT |
State: | WV |
Postal Code: | 265542244 |
Phone Number: | 3043633167 |
Fax Number: | 3043631725 |
NPI Enumeration Date: | 12/13/2011 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1313 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |