Individual
KELLEY KINARD MALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
222 RED BANK RD, GOOSE CREEK, SC 29445-4502
(843) 628-2935
Mailing address
1574 CARTERETT AVE, CHARLESTON, SC 29407-4218
(404) 441-5601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4204
SC
Other
Enumeration date
01/29/2013
Last updated
02/08/2024
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