Kelly Duque in Wilmington - Speech-language Pathologist
Kelly Duque - NPI 1154449767
Kelly Duque is a Speech-language Pathologist in Wilmington, North Carolina. Kelly Duque practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kelly Duque is 1154449767. The last update date is 2009-01-07.
Kelly Duque's current location address is 613 Burroughs Dr, Wilmington, North Carolina. You can contact this provider via phone number 9104317382 and fax number 9107943065. The mailing address for Kelly Duque is 613 Burroughs Dr, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Duque |
|---|---|
| Address | 613 Burroughs Dr, Wilmington, North Carolina |
| Phone Number | 9104317382 |
| Fax Number | 9107943065 |
| Sole Proprietor | Y |
| Credentials | M.S., CCC- |
NPI Number Detail
| NPI Number | 1154449767 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2009-01-07 |
Provider Mailing Address Detail
| Address | 613 Burroughs Dr |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284123071 |
| Phone Number | 9104317382 |
| Fax Number | 9107943065 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 7383 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7412575 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelly Duque by the Centers for Medicare & Medicaid Services?
The Kelly Duque has been assigned the NPI (National Provider Identifier) 1154449767 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Kelly Duque?
The Kelly Duque is physically situated at 613 Burroughs Dr, in the city of Wilmington, state of NC, with the postal code 284123071.
What is Kelly Duque's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Duque's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.
On what date did the Kelly Duque receive the assignment of its 1154449767 from the Centers for Medicare & Medicaid Services?
The Kelly Duque was issued its 1154449767 by the Centers for Medicare & Medicaid Services on 2007-03-26.
When was the information regarding Kelly Duque most recently updated?
The details pertaining to the Kelly Duque, including its address, specialty, and other relevant information, were last refreshed on 2009-01-07.
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