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

Kellie O'Brien Ivie

Individual provider Speech-Language Pathologist · NPI 1942814769

Kellie O'Brien Ivie is a Speech-Language Pathologist in Edwards, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

5601 Brookmere St
Edwards, IL 61528-9408
Phone: (309) 363-7594
Fax: (309) 966-3621
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146.016263 (IL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 242.005831 (IL)

Record details

NPI number1942814769
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2020
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address5601 Brookmere St, Edwards, IL 61528-9408

Other providers in Edwards