Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellam Black, SLP

Individual provider Speech-Language Pathologist · NPI 1255872024

Kellam Black, SLP is a Speech-Language Pathologist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

14550 Old Saint Augustine Rd
Jacksonville, FL 32258-2460
Phone: (904) 271-6575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA8959 (FL)

Record details

NPI number1255872024
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedMarch 13, 2017
Last updated in NPPESMarch 13, 2017
Mailing address126 Glen Eagles Ct, Ponte Vedra Beach, FL 32082-3613

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