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Kelli Banta

NPI 1003591769ActiveIndividual· Speech-Language Pathologist· Hattiesburg, MS

Speech-Language Pathologist in Hattiesburg, Mississippi, with an NPI issued in June 2023.

Overview

NPI1003591769
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 20, 2023
Last updated in NPPESJun 20, 2023
Certified by providerJun 20, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Speech-Language Pathologist providers in Hattiesburg

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