| Doctor Name: | MRS. KELLY MCGILL BUCHANAN |
| NPI Number: | 1508174152 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC-SLP |
| License Number: | |
| Business Practice Address: | 29770 Three Notch Road Suite 201 Charlotte Hall, MD - 20622 |
| Business Phone Number: | 3012900800 |
| Business Fax Number: | 3012901313 |
| Mailing Address: | 10535 Welch Family Farm Place, CHARLOTTE HALL |
| State: | MD |
| Postal Code: | 20622 |
| Phone Number: | 3012900800 |
| Fax Number: | 3012901313 |
| NPI Enumeration Date: | 09/16/2010 |
| NPI Last Update Date: | 11/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |