Kelly Irene Koprovic, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1270 Issued in AR

Practice address

2208 Lee Creek Dr
Van Buren, AR 72956-6911

Phone

(479) 806-7440

NPI assigned

May 21, 2007

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

Other identifiers 1

Other names 1

• Kelly Irene Turner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Kelly K'S Speech Therapy Services, LLC

  • Speech-Language Pathologist
  • Hackett, AR
  • NPI 1134744923
  NPD Authorized official
• Adair Ya, LLC

  • Speech-Language Pathologist
  • Van Buren, AR
  • NPI 1962885590
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1659589687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 LEE CREEK DR",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566911",
            "telephone_number": "479-806-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 LEE CREEK DR",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566911",
            "telephone_number": "479-806-7440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "816 Fayetteville Rd",
            "address_purpose": "LOCATION",
            "city": "Van Buren",
            "state": "AR",
            "postal_code": "729563423",
            "country_code": "US",
            "telephone_number": "479-268-2949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPROVIC",
        "first_name": "KELLY",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP1270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131677721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "TURNER",
            "middle_name": "IRENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark King, PT
• Tim King, PTA
• Angel Laray Kinney
• Amber Kirkendoll, COTA
• Judith Christy Koprovic
• Amanda Marie Kuandart, PTA
• Madalyn Kuykendall
• L.a. Bebensee DO PC
• Mariko Lynn Labrada, PHARMD
• Kaylynn Victoria Laird, RN

• Speech-Language Pathologist in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.