Search › North Carolina › 235Z00000X
Kenyatt Godbolt, M.S., CCC-SLP
NPI 1841426004 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3007 Simmon Tree Rd
Charlotte, NC 28270 - Phone
- (516) 521-2955
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- NC, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina