NPI 1609392398 · live from the CMS NPI Registry
Kelsey Dawn Allen
Speech-Language Pathologist, in Charleston, WV. National Provider Identifier 1609392398, active.
NPI record
| NPI | 1609392398 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1015 Oakhurst Dr, Charleston, WV 25314 |
| Practice phone | 304-345-8101 |
| Mailing address | 421 Mill Rd, Hurricane, WV 25526 |
| Enumerated | August 15, 2017 |
| Last updated | July 27, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | — |
| Speech-Language Pathologist, primary | 235Z00000X | 13134 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.