Kelsey Lauren Borer, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Raytown, MO
NPI 1154724557 · NPPES record last updated Sep 30, 2014
Key facts
- NPI
- 1154724557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2014027543 (MO)
- Practice address
- 8015 Raytown Rd
Raytown, MO 64138-2106 - Phone
- (816) 268-7280
- NPI assigned
- Sep 30, 2014
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014027543 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2014027543 | MO | Yes |
Addresses
Primary practice location
8015 Raytown Rd
Raytown, MO 64138-2106
Mailing address
8015 Raytown Rd
Raytown, MO 64138-2106
Phone (816) 268-7280
Other providers in Raytown, MO
- Nikki Marie Bergstrom
- Heidi Lynn Bertoncin
- Bio-Medical Applications of Missouri, Inc.
- Sonji Black
- Lisa Michelle Booth
- Rosemary Boudreaux
- Angela Boyd
- Stephanie Brandt
- Shonta Brenson
- Brian E. Hill, Lscsw, LLC
All providers in Raytown, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2014. 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.