Individual
KELLY R MARCONYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
14 MARSHELLEN DR, BEAUFORT, SC 29902-6900
(843) 579-8333
Mailing address
159 PICKETT MILL BLVD, BLUFFTON, SC 29909-7831
(808) 281-4067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
05/07/2024
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