Kelly Suzanne King, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004795 Issued in NY

Practice address

3599 Big Ridge Rd
Spencerport, NY 14559-1709

Phone

(585) 352-2400

NPI assigned

Oct 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Boces2

  • Developmentally Disabled Services Day Training Agency
  • Spencerport, NY
  • NPI 1154605533
  NPD (past)
• Monroe 2 Orleans Boces

  • Local Education Agency (LEA)
  • Spencerport, NY
  • NPI 1053109843
  NPD (past)

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

{
    "created_epoch": "1319846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319846400000",
    "number": "1932485331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CRESTFIELD DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146171904",
            "telephone_number": "585-338-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 BIG RIDGE RD",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591709",
            "telephone_number": "585-352-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KELLY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-29",
        "last_updated": "2011-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "004795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean James Kelley, PT, DPT
• Katherine Lawson Kellogg, CCC-SLP/L
• Brett Edward Kemp, MD
• Mikayla J Kemp
• Linda Jayne Khalil
• Jeannie Kirch, RN
• Maureen Ann Kleehammer, LPN
• Steven Kleinhammer, DPT
• Gail Marie Knab
• Matthew Donald Kois, LMHC

• Speech-Language Pathologist in Spencerport, NY
• Providers in Spencerport, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2011; 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.