Individual
KELLY M FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
3803 COMPUTER DR # B, SUITE 200, RALEIGH, NC 27609-6541
(919) 870-9591
(919) 846-4705
Mailing address
3803 COMPUTER DR # B, SUITE 200, RALEIGH, NC 27609-6541
(919) 870-9591
(919) 846-4705
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211076
—
NC
05
—
7412139
—
NC
Enumeration date
06/27/2006
Last updated
04/05/2010
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