Wellformed AI

NPI 1639775315 · live from the CMS NPI Registry

Jessica Duke

Speech-Language Pathologist, in Kenai, AK. National Provider Identifier 1639775315, active.

NPI record

NPI1639775315 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location49780 Eider Dr, Kenai, AK 99611
Practice phone907-398-4893
Mailing addressPo Box 84101, Seattle, WA 98124
EnumeratedDecember 8, 2020
Last updatedApril 13, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X152528 (AK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.