Kelly Marie Kuehl, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60490706 Issued in WA

Practice address

12550 Aurora Ave N
Seattle, WA 98133-8036

Phone

(206) 363-7303

NPI assigned

Mar 27, 2007

Last updated

May 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Provail

  dba PROVAIL Therapeutic and Assistive Technology Clinic

  • Speech-Language Pathologist
  • Seattle, WA
  • NPI 1477760197
  NPD (past)
• Provail

  • Rehabilitation Clinic/Center
  • Seattle, WA
  • NPI 1871857946
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1235257098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 AURORA AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338036",
            "telephone_number": "206-826-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 AURORA AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338036",
            "telephone_number": "206-363-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEHL",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60490706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29577039",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "649046",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia May Kudritzki, DPT
• Wendy R Kudritzki, PA-C
• Jennifer Carole Kuduk, LMP
• Tambudzai Kudze, MD
• Julia Kuebelbeck, ND
• Leigh Ann Kuehl, LPN
• Margaret Kuehn, LCSW
• Elaine Therese Kuehnemann, CN, LMHC
• Tiffany Kuespert
• Rebekah Faith Kuester

• Speech-Language Pathologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.