Kelly Sparks, MACCCSLP
NPI 1073732947ActiveIndividual· Speech-Language Pathologist· Yukon, OK
Speech-Language Pathologist (MACCCSLP) in Yukon, Oklahoma, licensed in OK, with an NPI issued in April 2007. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1073732947 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MACCCSLP |
| Sole proprietor | No |
| NPI issued | Apr 25, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 2975 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (OK) |
|---|
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Other speech-language pathologists in Yukon
- 1063968287
- 1164658092
- 1255633483
- 1598304909
- 1750410379
- 1811561871
- 1841825536
- 1861031932
- 1972805109
- 1275159170
- 1942841523
- 1073746426
All 57 speech-language pathologists in Yukon · All speech-language pathologists in Oklahoma