Christopher N Kellam, TSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP5360 Issued in AZ

Practice address

3233 W Peoria Ave
Suite 224
Phoenix, AZ 85029-4614

Phone

(602) 866-2231

Fax

(602) 866-2261

NPI assigned

Jan 5, 2007

Sex

Male

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

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952459232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W FORDHAM DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832841",
            "telephone_number": "260-414-2366",
            "fax_number": "602-866-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 W PEORIA AVE",
            "address_2": "SUITE 224",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294614",
            "telephone_number": "602-866-2231",
            "fax_number": "602-866-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAM",
        "first_name": "CHRISTOPHER",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "TSLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP5360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Bradley Keith, AGACNP
• Scott William Keith, DDS
• Tricia Keith, PTA
• Onel Kejee, MD
• Kumudini Kelkar, DPT
• Brenda Kelleher, LCSW, LICSW
• James P Kelleher III, MA, LMHC, LPC
• Kelly Ragan Kelleher, M.D.
• Patricia Ann Kelleher
• Alixandria Christine Keller

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.