Individual
KAYLA VITALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 W KING ST, KINGS MOUNTAIN, NC 28086-3362
(855) 983-0488
Mailing address
502 W KING ST, KINGS MOUNTAIN, NC 28086-3362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30002751
NC
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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