Louise Ellen Kelly, SLP
Speech-Language Pathologist, in Charlotte, NC. Individual provider (NPI-1).
NPI number1114243243
StatusActive
Last updated in NPPESJun 30, 2020
Details
- NPI
- 1114243243
- Entity type
- Individual (NPI-1)
- Name
- Louise Ellen Kelly
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2010
- Certification date
- Jun 30, 2020
- Last updated
- Jun 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2064 | NC | Yes |
Practice location
125 Baldwin AveSuite 100
Charlotte, NC 28204-3364
Phone 704-316-1900 · Fax 704-316-1924
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Other practice locations
2711 Randolph Rd Ste 100
Charlotte, NC 28207-2027
Charlotte, NC 28207-2027
Phone 980-302-8271
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