Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY CROSS MABOLO M.S. CCC-SLP
NPI 1720105539
Speech-Language Pathologist in Morehead City, NC

Q: What is Kelly Mabolo's NPI number?

The NPI number for Kelly Mabolo is 1720105539. It was assigned to this individual provider in the NPPES registry on March 25, 2007.

Q: What is Kelly Mabolo's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mabolo was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2007

1104 BLAIR FARM PKWY, MOREHEAD CITY, NC 28557(704) 654-6119 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Cross Mabolo M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY CROSS MABOLO M.S. CCC-SLP (NPI 1720105539) is an individual speech-language pathologist provider in Morehead City, North Carolina, licensed in North Carolina (6782) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1720105539

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY CROSS MABOLOCredential: M.S. CCC-SLP

Location Address1104 BLAIR FARM PKWYMorehead City, NC 28557-4775

Mailing Address1104 Blair Farm PkwyMorehead City, NC 28557-4775 · (704) 654-6119

Phone(704) 654-6119

Sole ProprietorYes

Enumeration DateMarch 25, 2007

Last NPPES UpdateJuly 1, 2026

NPPES CertifiedJuly 1, 2026

✔ NPI 1720105539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in NC · 6782

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1104 BLAIR FARM PKWY, Morehead City, NC 28557

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Other Identifiers 1

Medicaid7412564NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mabolo's NPI number?

The NPI number for Kelly Mabolo is 1720105539. It was assigned to this individual provider in the NPPES registry on March 25, 2007.

Where is Kelly Mabolo located?

Kelly Mabolo practices at 1104 Blair Farm Pkwy, Morehead City, NC 28557. The listed phone number is (704) 654-6119.

What is Kelly Mabolo's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kelly Mabolo was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.