MEDICARE: MRS. KELLY MURCHISON BROWN MSP,CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2208	SC

General Provider Information

NPI Number	:	1184895302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KELLY MURCHISON BROWN MSP,CCC-SLP

Provider Business Mailing Address
First Line	:	1060 SUGAR HILL DR
Second Line	:
City	:	MONCKS CORNER
State	:	SC
Zip	:	29461-6000
Country	:	US
Telephone Number	:	843-899-7898
Fax Number	:

Provider Business Practice Location Address
First Line	:	1060 SUGAR HILL DR
Second Line	:
City	:	MONCKS CORNER
State	:	SC
Zip	:	29461-6000
Country	:	US
Telephone Number	:	843-899-7898
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2008
Last Update Date	:	03/15/2008

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Directions to “ MRS. KELLY MURCHISON BROWN MSP,CCC-SLP” Practice Location

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