KELLY D INGRAM

ARIZONA STATE UNIVERSITY

Dr KELLY D INGRAM is a female medical professional, specializing in Qualified Speech Language Pathologist. She graduated in 1993.

Contact

ARIZONA STATE UNIVERSITY

975 S MYRTLE AVE COOR HALL
2211 ASU SPEECH AND HEARING CLINIC
TEMPE
AZ
85281

Tel: 4809652373

KELLY D INGRAM Information

Npi 1023178191
Pac Id 9739220716
Professional Enrollment Id I20100113000364
Last Name INGRAM
First Name KELLY
Middle Name D
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1993
Primary Specialty QUALIFIED SPEECH LANGUAGE PATHOLOGIST
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ARIZONA STATE UNIVERSITY
Group Practice Pac Id 7012997976
Number Of Group Practice Members 11
Line 1 Street Address 975 S MYRTLE AVE COOR HALL
Line 2 Street Address 2211 ASU SPEECH AND HEARING CLINIC
Marker Of Address Line 2 Suppression
City TEMPE
State AZ
Zip Code 85281
Phone Number 4809652373
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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