Provider Demographics
NPI:1922579036
Name:KEHR, MELISSA MAE
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:MAE
Last Name:KEHR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12824 W 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:AIRWAY HEIGHTS
Mailing Address - State:WA
Mailing Address - Zip Code:99001-9408
Mailing Address - Country:US
Mailing Address - Phone:509-559-4635
Mailing Address - Fax:
Practice Address - Street 1:12824 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:AIRWAY HEIGHTS
Practice Address - State:WA
Practice Address - Zip Code:99001-9408
Practice Address - Country:US
Practice Address - Phone:509-559-4635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist