Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly King Cunningham

Individual provider Speech-Language Pathologist · NPI 1184402737

Kelly King Cunningham is a Qualified Speech Language Pathologist in Boone, North Carolina. Qualified in 2005, 21 years ago. Practices with Broad River Rehabilitation, a 222-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
21
Licensed in
NC
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

287 Bamboo Rd
Boone, NC 28607-8718
Phone: (828) 719-6457
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 30001478 (NC)

Record details

NPI number1184402737
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2023
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023
Mailing address1 Pond St, Arden, NC 28704-8500

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Broad River Rehabilitation — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Boone