Most Relevant Information
Provider Data
| NPI Number: | 1003642257 |
| Provider Name: | KELLEY NGO |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/12/2024 |
| Last Updated: | 09/12/2024 |
Provider Practice Location
16022 116TH AVE SE
RENTON
WA
980585245
Practice Location Phone/Fax
| Phone: | 4252043365 |
| Fax: |
Provider Mailing Location
3636 STONE WAY N APT 203R
SEATTLE
WA
981030101
Provider Mailing Phone/Fax
| Phone: | 4044222570 |
| Fax: |