Individual
LOUISE ELLEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
125 BALDWIN AVE, SUITE 100, CHARLOTTE, NC 28204-3364
(704) 316-1900
(704) 316-1924
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2064
NC
Other
Enumeration date
04/14/2010
Last updated
06/30/2020
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