Kelcey Kornek

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14860 Issued in CA

Practice address

1415 Ridgeback Rd
Chula Vista, CA 91910-6932

Phone

(239) 777-2106

NPI assigned

Aug 30, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1316615966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 WORDEN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 RIDGEBACK RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106932",
            "telephone_number": "239-777-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNEK",
        "first_name": "KELCEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Kogan, MA, RAS
• Kohler Chiropractic
• Andrew H Kohler, D.C.
• Kaitlen Elizabeth Kolodge, MS, PA-C
• Errol Richard Korn, M.D.
• Leonard M Kornreich, MD
• Camryn Korsmo
• Mabel L Koscuiszka
• Julia Koshechkina
• Hanna Kostenko

• Speech-Language Pathologist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.