Kelsey Renee Moon Franklin
Individual provider Active NPI Speech-Language Pathologist · Sultan, WA
NPI 1508639600 · NPPES record last updated Nov 1, 2023
Key facts
- NPI
- 1508639600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 61191115 (WA)
- Practice address
- 514 4TH St
Sultan, WA 98294-9474 - Phone
- (360) 793-9830
- NPI assigned
- Nov 1, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61191115 | WA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 61191115 | WA | Yes |
Addresses
Primary practice location
514 4TH St
Sultan, WA 98294-9474
Mailing address
18350 Blueberry LN Apt B
Monroe, WA 98272-2509
Other providers in Sultan, WA
- Jacquelyn Michelle Andie Cobrea
- Brian C Copple
- Melinda Cramer
- Christine Maria Davison
- Katie Finney
- Carl Christian Fricke
- Gypsie A Valentine Gitane
- Gregory a Hovander
- Ruth Ann Hackenbracht
- Nicholas Hakiel
All providers in Sultan, WA · Speech-Language Pathologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.