Individual
DR. KATHERINE T. KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1001 REYNOLDA RD, STOCKTON COTTAGE, WINSTON-SALEM, NC 27104-3245
(336) 723-1011
(336) 723-1411
Mailing address
148 CARRISBROOKE LN, WINSTON-SALEM, NC 27104-2528
(336) 406-8431
(336) 732-1411
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2729
NC
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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