| Mrs Kelly Marie Kohly, MA, CCC-SLP | |
|
4007 W Wendover Ave, Greensboro, NC 27407-1904 | |
| (336) 292-8620 | |
| Not Available |
| Full Name | Mrs Kelly Marie Kohly |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4007 W Wendover Ave, Greensboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972707941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6826 (North Carolina) | Primary |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20220214000353 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly Marie Kohly, MA, CCC-SLP 2509 Patriot Way Unit C, Greensboro, NC 27408-2753 Ph: (336) 662-2892 | Mrs Kelly Marie Kohly, MA, CCC-SLP 4007 W Wendover Ave, Greensboro, NC 27407-1904 Ph: (336) 292-8620 |
Minda Hatley, MA,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8 Mary Scott Pl, Greensboro, NC 27410 Phone: 336-255-9588 | |
Shauna Floyd, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2500 N Church St, Greensboro, NC 27405 Phone: 336-375-2240 | |
Pamela Brooks, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2500 N Church St, Greensboro, NC 27405 Phone: 336-375-2230 Fax: 336-375-2214 | |
Kyndall Knight, M.A., CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2500 N Church St, Greensboro, NC 27405 Phone: 336-375-2240 Fax: 336-375-2214 | |
Mrs. Jenine Entwistle Viole, MSP CCC-SLP LSLS AVT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3201 W Market St, Greensboro, NC 27403 Phone: 336-541-8167 Fax: 336-663-0266 | |
Pediatric Therapy Connection, Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4160 Piedmont Pkwy Ste 101, Greensboro, NC 27410 Phone: 336-601-8604 | |
Abigail Williams, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2500 N Church St, Greensboro, NC 27405 Phone: 336-375-2240 |