Kelly Kay Knollman Porter, MA CCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2 Bachelor Hall
Oxford, OH 45056-3414

Phone

(513) 529-2500

Fax

(513) 529-2502

NPI assigned

Feb 27, 2007

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 names 1

• Miss Kelly Kay Knollman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1245366673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 EAST KITCHEL RD",
            "city": "LIBERTY",
            "state": "IN",
            "postal_code": "47353",
            "telephone_number": "765-458-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BACHELOR HALL",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450563414",
            "telephone_number": "513-529-2500",
            "fax_number": "513-529-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLLMAN PORTER",
        "first_name": "KELLY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MA CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "KNOLLMAN",
            "middle_name": "KAY",
            "prefix": "MISS",
            "credential": "MA CCCSLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sanford Richard Kimmel, M.D.
• Jeanna M Kinney
• Kristin Nicole Klock, APRN
• Sarah Knight, COTA
• Mary Margaret Knoedler, MD
• Roger M. Knudson, PH. D.
• Mary Kozak, M.A. CCC-SLP
• Michael Scott Kranbuhl, MD
• Jane Kratzer, LMT
• Kroger Limited Partnership I (Kroger Pharmacy)

• Speech-Language Pathologist in Oxford, OH
• Providers in Oxford, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.