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KELLY SHAW MS CCC-SLP
NPI 1790049807
Speech-Language Pathologist in Kenosha, WI

Active since July 03, 2012
5219 88TH AVE, KENOSHA, WI 53144(262) 653-0850 Get Directions Write a Review

NPPES record last updated: July 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Shaw Ms Ccc-slp NPPES

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

KELLY SHAW MS CCC-SLP (NPI 1790049807) is an individual speech-language pathologist provider in Kenosha, Wisconsin, licensed in Wisconsin (3456-154) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1790049807
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY SHAWCredential: MS CCC-SLP
Location Address5219 88TH AVEKenosha, WI 53144-7468
Mailing Address14460 W Honey LnNew Berlin, WI 53151-2314
Phone(262) 653-0850
Sole ProprietorNo
Enumeration DateJuly 3, 2012
✔ NPI 1790049807 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 · 3456-154
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.
5219 88TH AVE, Kenosha, WI 53144
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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.

KERRY JACQUET PT, DPT
Physical Therapist (Pediatrics)
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (262) 653-0850
DIANE ARNDT SPEECH THERAPIST
Speech-Language Pathologist
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (262) 653-0850
CHRISTINE KALLSEN DPT
Physical Therapist
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (262) 287-0090
SOPHIA POLARIS M.S., CCC-SLP
Speech-Language Pathologist
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (262) 653-0850
ELIZABETH SIKORSKI OTR
Occupational Therapist
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (262) 653-0850
MRS. JENNIFER JILLIANN JAMES
Speech-Language Pathologist
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (262) 653-0850
CASSANDRA ANNE SOLVIK
Speech-Language Pathologist
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (262) 287-0090
RACHEL WOLFE
Occupational Therapist
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (608) 345-7562

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 Shaw's NPI number?

The NPI number for Kelly Shaw is 1790049807. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is Kelly Shaw located?

Kelly Shaw practices at 5219 88th Ave, Kenosha, WI 53144. The listed phone number is (262) 653-0850.

What is Kelly Shaw'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 Shaw was last updated on July 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.