Kelly Brewer, MS,CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Anchorage, AK
NPI 1053786582 · NPPES record last updated Dec 9, 2015
Key facts
- NPI
- 1053786582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLPS7 (AK)
- Practice address
- 3211 Starboard LN
Anchorage, AK 99516-3518 - Phone
- (907) 223-7249
- NPI assigned
- Dec 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1479 | HI | MD | Physical Therapist |
| SLPS7 | AK | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1479 | HI | |
| Speech-Language Pathologist | 235Z00000X | SLPS7 | AK | Yes |
Addresses
Primary practice location
3211 Starboard LN
Anchorage, AK 99516-3518
Mailing address
3211 Starboard LN
Anchorage, AK 99516-3518
Phone (907) 223-7249
Other providers in Anchorage, AK
- Jonathan M Bressler
- Brett Adam Barringer
- Haley Brett
- Brittany M Bretz
- Jodie Brewer
- Thomas Brewer
- Bambi Renae Brewington
- Kenneth Brewington
- Wesley Frank Brewington
- Patricia Leeann Brewster
All providers in Anchorage, AK · Speech-Language Pathologist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.