Kelly Katherine Abram, MS CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015103-1 Issued in NY

Practice address

9520 Fredonia Stockton Rd
Fredonia, NY 14063-9518

Phone

(716) 672-4371

NPI assigned

Mar 10, 2008

Last updated

Jul 25, 2019By 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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1619147204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WOODCREST DR",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140632310",
            "telephone_number": "716-679-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 FREDONIA STOCKTON RD",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140639518",
            "telephone_number": "716-672-4371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 E North St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031002",
            "country_code": "US",
            "telephone_number": "716-885-8318",
            "fax_number": "716-885-0229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAM",
        "first_name": "KELLY",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "MS CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015103-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Adams
• Dennis Michael Adey Sr., OPTICIAN
• Sita Lakshmi Akkinepally, MD
• Allied Orthopedic Appliances Inc. (Great Lakes Home Healthcare Services)
• Tiffany Ann Amidon, RN

• Speech-Language Pathologist in Fredonia, NY
• Providers in Fredonia, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.