Kenlly Gomez, MD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ11933 Issued in FL

Practice address

5665 W 20TH Ave Apt 208
Hialeah, FL 33012-7530

Phone

(786) 815-4240

NPI assigned

Jun 8, 2024

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

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• DKJ Services LLC

  • Speech-Language Pathologist
  • Cape Coral, FL
  • NPI 1336944347
  NPD

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

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1487496741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 W 20TH AVE APT 208",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127530",
            "telephone_number": "786-815-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 W 20TH AVE APT 208",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127530",
            "telephone_number": "786-815-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "KENLLY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Cristina Gomez, MD
• Jessica Gomez, PA-C
• Juan Carlos Gomez
• Julian A Gomez, PHARM.D.
• Kenia Gomez
• Laura Gomez, APRN
• Laura Y Gomez
• Leoben Gomez
• Madelaine Gomez, BEHAVIOR TECHNICIANS
• Maria C Gomez

• Speech-Language Pathologist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; 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.