Individual
KELLEE KABEALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP CCC SLP
Contact information
Practice address
1407 ASHLEY RIVER ROAD, CHARLESTON, SC 29407-5305
(843) 769-0663
(843) 769-0665
Mailing address
1407 ASHLEY RIVER ROAD, CHARLESTON, SC 29407-5305
(843) 769-0663
(843) 769-0665
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3735
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0610
—
SC
Enumeration date
08/19/2006
Last updated
07/08/2007
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