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Organization

KATHERINE T. KELLY, PH.D., LLC

Active
Other names
Branches Holistic Health and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHERINE T KELLY PH. D. (PSYCHOLOGIST, DIRECTOR)
(336) 406-8431
Entity
Organization

Contact information

Practice address
1001 REYNOLDA RD, STOCKTON COTTAGE, WINSTON SALEM, NC 27104-3245
(336) 406-8431
(336) 723-1411
Mailing address
1001 REYNOLDA RD, STOCKTON COTTAGE, WINSTON SALEM, NC 27104-3245
(336) 406-8431
(336) 723-1411

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2729
NC

Other

Enumeration date
08/30/2006
Last updated
08/22/2020
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