Individual
MRS. KELLY MCGILL BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
29770 THREE NOTCH ROAD, SUITE 201, CHARLOTTE HALL, MD 20622
(301) 290-0800
(301) 290-1313
Mailing address
10535 WELCH FAMILY FARM PLACE, CHARLOTTE HALL, MD 20622
(301) 290-0800
(301) 290-1313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06602
MD
235Z00000X
Speech-Language Pathologist
—
MD
Other
Enumeration date
09/16/2010
Last updated
11/13/2013
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