Individual
KELLY COOKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
110 CORNING RD, CARY, NC 27518-9229
(919) 431-7400
Mailing address
4613 FISK CT, RALEIGH, NC 27604-8401
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
14997
NC
231H00000X
Audiologist
—
NC
2355A2700X
Audiology Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568039378
—
NC
Enumeration date
06/09/2021
Last updated
04/15/2026
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