Corey Elysse Kilcullen, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8035 Issued in NC

Practice address

7110 Brighton Park Dr
Suite 400 PMB 168
Mint Hill, NC 28227-7987

Phone

(704) 965-0783

NPI assigned

Apr 14, 2008

Last updated

Apr 14, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1588838320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 EWING AVE",
            "address_2": "APT. B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035739",
            "telephone_number": "828-403-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 BRIGHTON PARK DR",
            "address_2": "SUITE 400 PMB 168",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282277987",
            "telephone_number": "704-965-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILCULLEN",
        "first_name": "COREY",
        "middle_name": "ELYSSE",
        "name_prefix": "Miss",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Joseph, M.S., LPC
• JP Associate, Inc. (Park Dental)
• Shalini Kamodia, DDS
• Erica Christine Kelley, DPT
• Kickstarting Inspiration & Nourishing Gentle Souls LLC
• John Dane Kovach, DDS, MS
• L a Enterprises
• Tyler Laura Lawrence, BCBA
• James Townsend Layton, DDS
• Ines Lee

• Speech-Language Pathologist in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.