KELLY PHILLIPS SLP NPI 1932169489

NPI Information

  • NPI: 1932169489
  • Provider Name: KELLY PHILLIPS, SLP
  • Classification: Specialist/Technologist - 2355S0801X
  • Specialization: Speech-Language Assistant
  • Entity Type: Individual
  • Address: 713 E SHOTWELL ST
    BAINBRIDGE, GA
    ZIP 39819
  • Phone: (229) 246-4088

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NPI Details

Kelly Phillips, SLP is a speech-language assistant specialist technologist in Bainbridge, GA. Kelly Phillips, SLP NPI is 1932169489. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

713 E SHOTWELL ST
BAINBRIDGE, GA
ZIP 39819-063
Phone: (229) 246-4088
Fax: (229) 243-0200

The enumeration date for this NPI number is 3/27/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12355S0801XSpecialist/TechnologistSpeech-Language AssistantSLP003034GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100919718AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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