| Doctor Name: | MS. SHANA L KELLY |
| NPI Number: | 1235277997 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | LL00003194 |
| Business Practice Address: | 4115 University Way Ne Ste 202 Seattle, WA - 981056257 |
| Business Phone Number: | 2062991780 |
| Business Fax Number: | 2065249836 |
| Mailing Address: | 4115 University Way Ne, Ste 202 SEATTLE |
| State: | WA |
| Postal Code: | 981056257 |
| Phone Number: | 2062991780 |
| Fax Number: | 2065249836 |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 10/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL00003194 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |