MRS. KELLEY SUZANNE BUMGARDANER MA, CCC-SLP
NPI 1720154248
Speech-Language Pathologist in Desloge, MO

Q: What is Kelley Bumgardaner's NPI number?

The NPI number for Kelley Bumgardaner is 1720154248. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Q: What is Kelley Bumgardaner's specialty?

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

Active since November 27, 2006

801 BRIM ST, DESLOGE, MO 63601(573) 431-0223(573) 431-0251 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kelley Suzanne Bumgardaner Ma, Ccc-slp NPPES

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

MRS. KELLEY SUZANNE BUMGARDANER MA, CCC-SLP (NPI 1720154248) is an individual speech-language pathologist provider in Desloge, Missouri, licensed in Missouri (MO01965) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1720154248

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. KELLEY SUZANNE BUMGARDANERCredential: MA, CCC-SLP

Location Address801 BRIM STDesloge, MO 63601-3441

Mailing AddressPo Box 625, 203 Kingsbury Blvd.Fredericktown, MO 63645-0625 · (573) 783-7043 · Fax (573) 431-0251

Phone(573) 431-0223

Fax(573) 431-0251

Sole ProprietorYes

Enumeration DateNovember 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1720154248 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 MO · MO01965

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.

801 BRIM ST, Desloge, MO 63601

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Other Providers at the Same Location NPPES 20

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

KEVIN JAMES BULLOCK PTA

Physical Therapy Assistant

801 BRIM ST
DESLOGE, MO 63601

St. Francois County (573) 431-0223

JULIA FAITH CULBERTSON

Physical Therapy Assistant

801 BRIM ST
DESLOGE, MO 63601

St. Francois County (573) 431-0223

MS. HANNAH JEAN MENDEZ DOMINGUEZ

Occupational Therapist

801 BRIM ST
DESLOGE, MO 63601

St. Francois County (573) 431-0223

KELSEY MARIE THOMPSON

Physical Therapy Assistant

801 BRIM ST
DESLOGE, MO 63601

St. Francois County (573) 431-0223

HANNAH DANYELL STAMP PTA

Physical Therapy Assistant

801 BRIM ST
DESLOGE, MO 63601

St. Francois County (573) 431-0223

JON LEE CLAUSER PTA

Physical Therapy Assistant

801 BRIM ST
DESLODGE, MO 63601

St. Francois County (573) 431-0223

GAY AMPO BIGCAS P.T.

Physical Therapist

801 BRIM ST
DESLOGE, MO 63601

St. Francois County (573) 431-0223

CAMERON PARKER PTA

Physical Therapy Assistant

801 BRIM ST
DESLOGE, MO 63601

St. Francois County (573) 431-0223

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 Kelley Bumgardaner's NPI number?

The NPI number for Kelley Bumgardaner is 1720154248. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Kelley Bumgardaner located?

Kelley Bumgardaner practices at 801 Brim St, Desloge, MO 63601. The listed phone number is (573) 431-0223.

What is Kelley Bumgardaner'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 Kelley Bumgardaner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.