Provider / Organization | NPI | Date Certified |
---|---|---|
KELLY SMITH | 1679979561 | 2024-09-07 |
Kelly Smith is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1679979561. Registration indicates Kelly Smith is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers) (Speech, Language and Hearing Service Providers, Speech-Language Pathologist) (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
Entity Type | Individual |
Provider Name | Kelly Smith MHS, CCC-SLP |
Practice Office Address | 5020 NE 58TH ST KANSAS CITY, MO US |
Practice Office Telephone | 8163214406 |
Mailing Address | 712 NW 51ST TER KANSAS CITY, MO 641184382 US |
Business Telephone | 8162619305 |
Code | Practice | License No State |
---|---|---|
235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | 2014001052
MO |
235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers |