Healthcare Provider Details

I. General information

NPI: 1083547699
Provider Name (Legal Business Name): KELLY TAYLOR SCHLICHER AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 GOLD HILL RD STE 104
FORT MILL SC
29708-8988
US

IV. Provider business mailing address

870 GOLD HILL RD STE 104
FORT MILL SC
29708-8988
US

V. Phone/Fax

Practice location:
  • Phone: 803-620-8250
  • Fax:
Mailing address:
  • Phone: 803-620-8250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD.8052
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: