Provider Demographics
NPI:1093059461
Name:MORGAN, KELI LYNN (MS, CF, SLP)
Entity Type:Individual
Prefix:MRS
First Name:KELI
Middle Name:LYNN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MS, CF, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2878 POWELL ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-7333
Mailing Address - Country:US
Mailing Address - Phone:479-750-8710
Mailing Address - Fax:479-750-8810
Practice Address - Street 1:2878 POWELL ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-7333
Practice Address - Country:US
Practice Address - Phone:479-750-8710
Practice Address - Fax:479-750-8810
Is Sole Proprietor?:No
Enumeration Date:2012-11-24
Last Update Date:2012-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#P8635235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist