Kelly Kish-Landaal, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101000037 Issued in MI

Practice address

4464 Wood Duck CT
Linden, MI 48451-8410

Phone

(203) 232-1924

NPI assigned

Mar 8, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426377600000",
    "number": "1760780225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4464 WOOD DUCK CT",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484518410",
            "telephone_number": "203-232-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4464 WOOD DUCK CT",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484518410",
            "telephone_number": "203-232-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISH-LANDAAL",
        "first_name": "KELLY",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2015-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.009705",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J Kalafatis, PTA
• Patricia Marie Karnowski
• Timothy Kilgore Jr.
• Gary R King, MD
• Heather A. Kirkpatrick, PH.D.
• Wendy Michele Koontz-Beatty, RPH
• Jeanette Kurnik
• Lakeside Therapy Group
• Bruce C Leitkam, DO
• Linden Family Dental PLC

• Speech-Language Pathologist in Linden, MI
• Providers in Linden, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2015; 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.