Kelly Gerrein
Individual provider Active NPI Speech-Language Pathologist · Perryville, MO
NPI 1740833136 · NPPES record last updated Jul 24, 2019
Key facts
- NPI
- 1740833136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2018029938 (MO)
- Practice address
- 326 College St
Perryville, MO 63775-2624 - Phone
- (573) 547-7500
- NPI assigned
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 2018029938 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perry County School Dist 32 | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2018029938 | MO | Yes |
Addresses
Primary practice location
326 College St
Perryville, MO 63775-2624
Mailing address
769 State Highway Z Apt 6
Cape Girardeau, MO 63701-9335
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All providers in Perryville, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2019. 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.