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NPI Code Detail

MEDICARE: LINDSAY KELLEY

MEDICARE:   LINDSAY  KELLEY
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
1235Z00000XSpeech-Language Pathologist7156NC

General Provider Information

NPI Number : 1710154216
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY KELLEY
Provider Business Mailing Address
First Line : 5522 BERRY CREEK CIR
Second Line :
City : RALEIGH
State : NC
Zip : 27613-1465
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 411 S LASALLE ST
Second Line :
City : DURHAM
State : NC
Zip : 27705-3701
Country : US
Telephone Number : 191-938-3552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2008
Last Update Date : 12/16/2024

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Directions to “ LINDSAY KELLEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.