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

Kelli Banta

Individual provider Speech-Language Pathologist · NPI 1003591769

Kelli Banta is a Speech-Language Pathologist in Hattiesburg, Mississippi. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4805 W 4th St
Hattiesburg, MS 39402-1019
Phone: (601) 270-6968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1003591769
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2023
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing address606 Concart St, Hattiesburg, MS 39401-4213

Other providers in Hattiesburg