Provider Demographics
NPI:1750890679
Name:KAYS, CAROL STUHR (MSP-CCC)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:STUHR
Last Name:KAYS
Suffix:
Gender:F
Credentials:MSP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 GATEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-0981
Mailing Address - Country:US
Mailing Address - Phone:910-470-3302
Mailing Address - Fax:
Practice Address - Street 1:208 GATEFIELD DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-0981
Practice Address - Country:US
Practice Address - Phone:910-470-3302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3924235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist