Individual
MS. JUDITH KINNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
209 N CHURCH ST, LOUISBURG, NC 27549-2530
(919) 740-2383
Mailing address
209 N CHURCH ST, LOUISBURG, NC 27549-2530
(919) 740-2383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4558
NC
Other
Enumeration date
09/01/2007
Last updated
09/01/2007
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