Individual
KELLY MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2515 DOUBLE CHURCHES RD, COLUMBUS, GA 31909-2742
(706) 660-5495
(706) 660-5497
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013677
GA
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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