Organization Active NPI

Kelco Speech Language Pathology, LLC

  • Speech-Language Pathologist
  • Parker, CO
National Provider Identifier
1861173460
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KELCO SPEECH LANGUAGE PATHOLOGY, LLC
Practice address
9802 Amber Rock Dr
Parker, CO 80134-3558
Phone
(720) 318-4733
NPI assigned
Jul 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Kelly CohenNPI 1316434228
Title
Owner/Member
Phone
(720) 318-4733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

9802 Amber Rock Dr
Parker, CO 80134-3558

Mailing address

17011 Lincoln Ave # 144
Parker, CO 80134-3144

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1861173460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17011 LINCOLN AVE # 144",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 AMBER ROCK DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343558",
            "telephone_number": "720-318-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELCO SPEECH LANGUAGE PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "720-318-4733"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.