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NPI 1902770696ActiveOrganization· Speech-Language Pathologist· Rochester, MI

Speech-Language Pathologist in Rochester, Michigan, registered in NPPES in October 2025. The authorized official on file is Kylee Nicole Keller, MS, Slp. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1902770696
StatusActive
Entity typeOrganization
NPI issuedOct 3, 2025
Last updated in NPPESOct 3, 2025
Certified by providerOct 3, 2025

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 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MI)

Medicare sources and data years

Other Speech-Language Pathologist providers in Rochester

All Speech-Language Pathologist providers in Michigan →