NPI 1033695606
Kelly Jaksa
Practice location
- Address
- 1085 S Linden Rd STE 100, Flint, MI 48532-3416
- Phone
- (810) 262-2007
- Mailing address
- 2179 Fox Hill Dr APT 11, Grand Blanc, MI 48439-5232
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1033695606
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Jul 2018
- Record last updated
- 17 Jul 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.