Individual
KELLY ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8703 HIGHWAY 17 BYP S STE 1, MYRTLE BEACH, SC 29575-7701
(843) 457-1053
(843) 215-2910
Mailing address
8703 HIGHWAY 17 BYP S STE 1, MYRTLE BEACH, SC 29575-7701
(843) 457-1053
(843) 215-2910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2698
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000830
—
WV
Enumeration date
08/26/2008
Last updated
08/06/2015
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