Individual
KERRY O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2759 SEASTRAND LN, MOUNT PLEASANT, SC 29466-6717
(315) 427-2935
Mailing address
624 HOLLY SPRINGS RD STE 314, HOLLY SPRINGS, NC 27540-9030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5626
—
SC
Enumeration date
07/25/2019
Last updated
07/25/2019
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