Individual
MRS. BETH CASEY KEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(336) 725-0222
Mailing address
1011 BRANCHWOOD DR., KERNERSVILLE, NC 27284-2209
(336) 996-2914
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1835
NC
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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