MRS. KELLY JEAN PHELPS CCC-SLP
NPI 1679428619
Speech-Language Pathologist in Manitowoc, WI

Active since March 04, 2026
2502 S 14TH ST, MANITOWOC, WI 54220(920) 663-9311 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kelly Jean Phelps Ccc-slp NPPES

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

MRS. KELLY JEAN PHELPS CCC-SLP (NPI 1679428619) is an individual speech-language pathologist provider in Manitowoc, Wisconsin, licensed in Wisconsin (711784) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1679428619
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KELLY JEAN PHELPSCredential: CCC-SLP
Location Address2502 S 14TH STManitowoc, WI 54220-6499
Mailing Address4838 W Custer StManitowoc, WI 54220-9309 · (920) 663-9311
Sole ProprietorNo
Enumeration DateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
NPI 1679428619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in WI · 711784
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2502 S 14TH ST, Manitowoc, WI 54220

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 Phelps's NPI number?

The NPI number for Kelly Phelps is 1679428619. It was assigned to this individual provider in the NPPES registry on March 4, 2026.

Where is Kelly Phelps located?

Kelly Phelps practices at 2502 S 14th St, Manitowoc, WI 54220. The listed phone number is (920) 663-9311.

What is Kelly Phelps's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kelly Phelps was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.