Provider Demographics
NPI:1184895302
Name:BROWN, KELLY MURCHISON (MSP,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:MURCHISON
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSP,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 SUGAR HILL DR
Mailing Address - Street 2:
Mailing Address - City:MONCKS CORNER
Mailing Address - State:SC
Mailing Address - Zip Code:29461-6000
Mailing Address - Country:US
Mailing Address - Phone:843-899-7898
Mailing Address - Fax:
Practice Address - Street 1:1060 SUGAR HILL DR
Practice Address - Street 2:
Practice Address - City:MONCKS CORNER
Practice Address - State:SC
Practice Address - Zip Code:29461-6000
Practice Address - Country:US
Practice Address - Phone:843-899-7898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-15
Last Update Date:2008-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2208235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist