Kelly Lyn Grant, MSED, CCC-SLP is a
Speech-language Pathologist based in Richmondville, New York. Kelly Lyn Grant is licensed to practice in New York (license number 010332-1) and her current practice location is
1353 State Route 7, Richmondville, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 234-3565.
NPI number for Kelly Lyn Grant is 1205132495 and her current mailing address is 118 Whispering Pines Dr, Gilboa, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205132495.
Healthcare Provider's Profile
Full Name | Kelly Lyn Grant |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1353 State Route 7, Richmondville, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205132495
- Provider Enumeration Date: 02/04/2011
- Last Update Date: 12/18/2024
Medical Identifiers
Medical identifiers for Kelly Lyn Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205132495 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 010332-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Lyn Grant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Lyn Grant, MSED, CCC-SLP 118 Whispering Pines Dr, Gilboa, NY 12076-2308 Ph: (607) 434-4362 | Kelly Lyn Grant, MSED, CCC-SLP 1353 State Route 7, Richmondville, NY 12149-2303 Ph: (518) 234-3565 |
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