Kelly Britton

Individual provider Active NPI Speech-Language Pathologist · West Allis, WI

NPI 1487218012 · NPPES record last updated Apr 20, 2021

Key facts

NPI
1487218012
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
9047 W Greenfield Ave
West Allis, WI 53214-2800
Phone
(414) 453-9290
NPI assigned
Apr 29, 2019
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

9047 W Greenfield Ave
West Allis, WI 53214-2800

Mailing address

9047 W Greenfield Ave
West Allis, WI 53214-2800
Phone (414) 453-9290

Other names

  • Kelly Russo Former name

Other providers in West Allis, WI

All providers in West Allis, WI · Speech-Language Pathologist in Wisconsin

Sources for this page

Verify at the official NPI Registry.