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

Kelly Danielson

Individual provider Speech-Language Pathologist · NPI 1265261218

Kelly Danielson is a Qualified Speech Language Pathologist in Las Vegas, Nevada. Qualified in 2024, 2 years ago. Licensed in Nevada.

Years since qualifying
2
Licensed in
NV
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

7425 W Azure Dr Ste 140
Las Vegas, NV 89130-4425
Phone: (702) 515-4009
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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 SP-4047 (NV)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1265261218
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESSeptember 7, 2024
Certification dateSeptember 7, 2024
Mailing address9344 Bright Blue Sky Ave, Las Vegas, NV 89166-3787

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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