Individual
KAYLEN ALFORD CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4421 STUART ANDREW BLVD, CHARLOTTE, NC 28217-1589
(980) 343-6960
Mailing address
4421 STUART ANDREW BLVD, CHARLOTTE, NC 28217-1589
(980) 343-6960
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11623
NC
235Z00000X
Speech-Language Pathologist
Primary
5502
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5502
SC LLR SPEECH LANGUAGE PATHOLOGY
SC
Enumeration date
06/12/2014
Last updated
06/04/2026
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