Individual
DR. KELLY J. MCELLIGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
9513 AMBERDALE DR, NORTH CHESTERFIELD, VA 23236-1256
(804) 373-8224
(804) 369-9658
Mailing address
9513 AMBERDALE DR, NORTH CHESTERFIELD, VA 23236-1256
(804) 373-8224
(804) 369-9658
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201002004
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2201002004
STATE AUDIOLOGY LICENSE
VA
Enumeration date
08/15/2017
Last updated
02/07/2025
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