Jeannine Kelley, SLP
Individual provider Active NPI Speech-Language Pathologist · Kane, PA
NPI 1104490820 · NPPES record last updated Nov 7, 2023
Key facts
- NPI
- 1104490820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- PSL001506 (PA)
- Practice address
- 100 High Point Dr
Kane, PA 16735-9704 - Phone
- (814) 837-6706
- NPI assigned
- May 17, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSL001506 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PSL001506 | PA | Yes |
Addresses
Primary practice location
100 High Point Dr
Kane, PA 16735-9704
Mailing address
PO Box 335
Mount Jewett, PA 16740-0335
Phone (814) 558-0633
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jnsmith@feeltheadvantage.com | ||
| Direct Messaging Address | jsmith@feeltheadvantage.com |
Other providers in Kane, PA
- Tonia Lynn Johnson
- Kane Anesthesia Professional Services
- Kane Anesthesiology Professional Services Inc
- Kane Area School District
- Kane Medical Group Inc
- Keystone Rehabilitation Systems Inc
- Courtney Kline
- Vasileios Kostopoulos
- Kenneth Ralph Langille
- Andrew James Leslie
All providers in Kane, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2023. 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.