Individual
KELLEY A REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 ENOLA RD, MORGANTON, NC 28655-4608
(828) 433-2661
Mailing address
86 NC 80, BAKERSVILLE, NC 28705-8103
(716) 672-9127
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0099341
NY
235Z00000X
Speech-Language Pathologist
106883
TX
235Z00000X
Speech-Language Pathologist
Primary
9688
NC
235Z00000X
Speech-Language Pathologist
SA 11522
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7413610
—
NC
Enumeration date
05/18/2008
Last updated
06/12/2012
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