Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellie Banta, MA-EDCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1134750102

Kellie Banta, MA-EDCCC-SLP is a Speech-Language Pathologist in Cold Spring, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2020
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Practice location Address checks out

3699 Alexandria Pike Ste D
Cold Spring, KY 41076-1789
Phone: (859) 572-0430
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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 140765 (KY)

Record details

NPI number1134750102
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA-EDCCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 29, 2020
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020

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