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Khetlhamany Bannavong, M.A., CCC-SLP

NPI 1245945567 · on the registry since 2023

Practice

Address
1253 Elder Ridge Rd
West Liberty, IA 52776
Phone
(195) 417-7853

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
IA, PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa