Active NPI
Kellye Ann Wedding, CCC
- Speech-Language Pathologist
- Georgetown, KY
National Provider Identifier
1710833678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0822
- Practice address
- 113 Stonewall Path
Georgetown, KY 40324-8661 - Phone
- (502) 803-6771
- NPI assigned
- Mar 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0822 | KY | Primary |
Addresses
Primary practice location
113 Stonewall Path
Georgetown, KY 40324-8661
Mailing address
113 Stonewall Path
Georgetown, KY 40324-8661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0822 | KY | MD | Addiction (Substance Use Disorder) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1710833678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 STONEWALL PATH",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403248661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 STONEWALL PATH",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403248661",
"telephone_number": "502-803-6771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEDDING",
"first_name": "KELLYE",
"middle_name": "ANN",
"credential": "CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-04",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "0822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.