Kelly Cross Mabolo, M.S. CCC-SLP
Speech-Language Pathologist, in Morehead City, NC. Individual provider (NPI-1).
NPI number1720105539
StatusActive
Last updated in NPPESJul 1, 2026
Details
- NPI
- 1720105539
- Entity type
- Individual (NPI-1)
- Name
- Kelly Cross Mabolo
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2007
- Certification date
- Jul 1, 2026
- Last updated
- Jul 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 6782 | NC | Yes |
Practice location
1104 Blair Farm PkwyMorehead City, NC 28557-4775
Phone 704-654-6119
Mailing address
1104 Blair Farm PkwyMorehead City, NC 28557-4775
Phone 704-654-6119
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Speech-Language Pathologist providers in Morehead City, NC
- Leigh HammNPI 1457781973
- Holly Howell HoneycuttNPI 1508155110
- Lisa Kelly Kearns, MA,CCC-SLPNPI 1518003086
- Alisha Erin Plescher, MS, CCC-SLPNPI 1053780700
- Ronald J Webb, CCC-SLPNPI 1760675037
- Carly Flora Williams, MS CCC-SLPNPI 1215195938
All 7 Speech-Language Pathologist providers in Morehead City · All 970 providers in Morehead City
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