Individual
KELLY ELIZABETH MISAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 SOUND RD, HOLLY RIDGE, NC 28445-7813
(330) 949-6210
Mailing address
2428 SALINGER CT APT 304, WILMINGTON, NC 28412-7548
(330) 949-6210
(910) 754-5577
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30002867
NC
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
01/05/2024
Last updated
07/23/2025
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