Provider Demographics
NPI:1184958019
Name:HOLLRAH, KELBE (MS, CCC-SLP, CED)
Entity type:Individual
Prefix:MS
First Name:KELBE
Middle Name:
Last Name:HOLLRAH
Suffix:
Gender:F
Credentials:MS, CCC-SLP, CED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9515 MONROVIA ST APT 205
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-1561
Mailing Address - Country:US
Mailing Address - Phone:417-766-8698
Mailing Address - Fax:
Practice Address - Street 1:9515 MONROVIA ST APT 205
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-1561
Practice Address - Country:US
Practice Address - Phone:417-766-8698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3101235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist