Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kelly J Grillo

Individual provider Speech-Language Assistant · NPI 1124910419

Dr. Kelly J Grillo is a Speech-Language Assistant in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025
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Practice location Address checks out

807 S 29th St
Lafayette, IN 47904-3313
Phone: (386) 383-0977
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Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence 10328286 (IN)

Record details

NPI number1124910419
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 19, 2025
Last updated in NPPESJuly 19, 2025
Certification dateJuly 19, 2025
Mailing address807 S 29th St, Lafayette, IN 47904-3313

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