Kelly Abraham

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2698 Issued in WV

Practice address

8703 Highway 17 Byp S Ste 1
Myrtle Beach, SC 29575-7701

Phone

(843) 457-1053

Fax

(843) 215-2910

NPI assigned

Aug 26, 2008

Last updated

Aug 6, 2015By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1831346428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 HIGHWAY 17 BYP S STE 1",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295757701",
            "telephone_number": "843-457-1053",
            "fax_number": "843-215-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 HIGHWAY 17 BYP S STE 1",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295757701",
            "telephone_number": "843-457-1053",
            "fax_number": "843-215-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "2698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000830",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nancy Abrahams
• David E Abramovitz, CRNA
• Ibrahim Mohammad Abu Dayah, MD
• Lauren Sattele Abusal, MD, MSCR
• Accuquest Hearing Center, LLC

• Speech-Language Pathologist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.