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

Kelly Frederick, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1528784931

Kelly Frederick, CCC-SLP is a Speech-Language Pathologist in Madisonville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2022.

Licensed in
KY
In the registry since
2022
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

23 W Center St
Madisonville, KY 42431-1941
Phone: (270) 452-2835
Fax: (270) 452-2758
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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 2636 (KY)

Record details

NPI number1528784931
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedOctober 17, 2022
Last updated in NPPESOctober 17, 2022
Certification dateOctober 17, 2022

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