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MISS KELLY MARIE JOHNSON M.S., ED. CFY-SLP
NPI 1063812261
Student in an Organized Health Care Education/Training Program in Le Roy, NY

Active since August 26, 2014
80 MUNSON ST, LE ROY, NY 14482(585) 344-7900 Get Directions Write a Review

NPPES record last updated: August 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Kelly Marie Johnson M.s., Ed. Cfy-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KELLY MARIE JOHNSON M.S., ED. CFY-SLP (NPI 1063812261) is an individual student in an organized health care education/training program in Le Roy, New York and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1063812261
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS KELLY MARIE JOHNSONCredential: M.S., ED. CFY-SLP
Location Address80 MUNSON STLe Roy, NY 14482-8933
Mailing Address803 Urf RdCowlesville, NY 14037-9777 · (716) 807-9007
Phone(585) 344-7900
Sole ProprietorNo
Enumeration DateAugust 26, 2014
✔ NPI 1063812261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
80 MUNSON ST, Le Roy, NY 14482
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MELISSA MANGINO M.S., CCC-SLP
Speech-Language Pathologist
80 MUNSON ST
LE ROY, NY 14482
Genesee County (585) 344-7900
LIANNA MARIE RASPUDIC
Occupational Therapist
80 MUNSON ST
LE ROY, NY 14482
Genesee County (585) 344-7900
A KIMBERLY YUNKER
Occupational Therapist
80 MUNSON ST
LE ROY, NY 14482
Genesee County (585) 344-7900
ALLISON NICOLE LEZCANO OTR/L
Occupational Therapist
80 MUNSON ST
LE ROY, NY 14482
Genesee County (585) 344-7900
MARANDA OHLSON
Social Worker (School)
80 MUNSON ST
LE ROY, NY 14482
Genesee County (585) 344-7990
MRS. ASHLEY NICOLE POLLOK M.S. CCC-SLP
Speech-Language Pathologist
80 MUNSON ST
LE ROY, NY 14482
Genesee County (585) 409-4131
SAMANTHA WALKER LMSW
Social Worker
80 MUNSON ST
LE ROY, NY 14482
Genesee County (585) 344-7900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Johnson's NPI number?

The NPI number for Kelly Johnson is 1063812261. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Where is Kelly Johnson located?

Kelly Johnson practices at 80 Munson St, Le Roy, NY 14482. The listed phone number is (585) 344-7900.

What is Kelly Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelly Johnson was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.