Provider Demographics
NPI:1730863382
Name:TAYLOR, KELSEY BRIANNA (MS CF SLP)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:BRIANNA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MS CF SLP
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:BRIANNA
Other - Last Name:HURRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1051 DARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8133
Mailing Address - Country:US
Mailing Address - Phone:984-299-6930
Mailing Address - Fax:
Practice Address - Street 1:1051 DARRINGTON DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8133
Practice Address - Country:US
Practice Address - Phone:984-299-6930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30001802235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist