Kelly King Cunningham
NPI 1184402737ActiveIndividual· Speech-Language Pathologist· Boone, NC
Speech-Language Pathologist with Broad River Rehabilitation, practicing in Boone, North Carolina. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1184402737 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 15, 2023 |
| Last updated in NPPES | Sep 15, 2023 |
| Certified by provider | Sep 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 30001478 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (NC) |
|---|
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Broad River RehabilitationCharlotte, NC · 202 clinicians
Other Speech-Language Pathologist providers in Boone
- 1508274432
- 1538883442
- 1437322021
- 1245990159
- 1558375089
- 1558485318
- 1386658813
- 1255783593
- 1003763244
- 1700236387
- 1902139496
- 1053182469
All Speech-Language Pathologist providers in North Carolina →