National Provider Identifier
Kelly Marie Johnson, M.S., ED.CFY-SLP
Kelly Marie Johnson, M.S., ED.CFY-SLP is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Le Roy, NY and a listed phone number of (585) 344-7900.
Profile Overview
- NPI
- 1063812261
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- August 26, 2014
- Last Updated
- August 26, 2014
Practice Location
- 80 Munson St
- Le Roy, NY 14482-8933
Phone: (585) 344-7900
Mailing Address
- 803 Urf RD
- Cowlesville, NY 14037-9777
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1063812261
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Kelly
- Middle Name
- Marie
- Name Prefix
- Miss
- Credential
- M.S., ED.CFY-SLP
- Mailing Street Address
- 803 Urf RD
- Mailing City
- Cowlesville
- Mailing State
- NY
- Mailing ZIP Code
- 14037-9777
- Mailing Country
- US
- Mailing Phone
- (716) 807-9007
- Practice Street Address
- 80 Munson St
- Practice City
- Le Roy
- Practice State
- NY
- Practice ZIP Code
- 14482-8933
- Practice Country
- US
- Practice Phone
- (585) 344-7900
- Enumeration Date
- August 26, 2014
- Last Updated
- August 26, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)