Individual
KELLY BROADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
741 KENILWORTH AVENUE, SUITE 100, CHARLOTTE, NC 28204
(704) 523-8027
(704) 523-8031
Mailing address
741 KENILWORTH AVENUE, SUITE 100, CHARLOTTE, NC 28204
(704) 523-8027
(704) 523-8031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
11828
NC
235Z00000X
Speech-Language Pathologist
Primary
5777
SC
Other
Enumeration date
02/12/2016
Last updated
11/14/2019
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