Individual
MRS. KELLY MARIE KOHLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4007 W WENDOVER AVE, GREENSBORO, NC 27407-1904
(336) 292-8620
Mailing address
2509 PATRIOT WAY UNIT C, GREENSBORO, NC 27408-2753
(336) 662-2892
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6826
NC
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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