Individual
KIMLEY M BROWNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
910 BREMERTON DR, GREENVILLE, NC 27858-6548
(252) 916-1029
(252) 355-9218
Mailing address
PO BOX 2417, WINTERVILLE, NC 28590-2417
(252) 916-1029
(252) 355-9218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9500
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9500
BOARD OF EXAMINERS FOR SPEECH PATHOLOGY AND AUDIOLOGY
NC
Enumeration date
08/08/2011
Last updated
11/14/2011
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