Kelly Kirk, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL012019 Issued in PA

Practice address

3740 Milligantown Rd
Lower Burrell, PA 15068-7121

Phone

(724) 594-0676

NPI assigned

Mar 11, 2015

Last updated

Mar 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Therapy House LLC

  • Early Intervention Provider Agency
  • Allison Park, PA
  • NPI 1568853182
  NPD (past)
• Therapy House LLC

  • Early Intervention Provider Agency
  • New Kensington, PA
  • NPI 1578939237
  NPD (past)

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1265825509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 REDCOACH RD",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151013230",
            "telephone_number": "412-304-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 MILLIGANTOWN RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150687121",
            "telephone_number": "724-594-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "KELLY",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essence Leigh Kanya
• Corey Karadeema, PHARMD
• Alyssa Kawiecki
• Brenna Marie Keating, PT, DPT
• Jennifer Kelly, LPC
• Kathleen Grace Kiselica, OTR/L
• Patrick Sean Kochanowski, BC-HIS, ACA
• Michelle Elizabeth Kohler, COTA/L
• Eric Anthony Konvalin, PT
• Clayton Thomas Kubrick, DPT

• Speech-Language Pathologist in Lower Burrell, PA
• Providers in Lower Burrell, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.