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

Kelly Declark

Individual provider Speech-Language Pathologist · NPI 1841124740

Kelly Declark is a Speech-Language Pathologist in Holly, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

10483 Dixie Hwy
Holly, MI 48442-9311
Phone: (810) 771-7686
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 7152001440 (MI)

Record details

NPI number1841124740
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address10483 Dixie Hwy, Holly, MI 48442-9311

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