Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kellie Elizabeth Green, MA, CCC-SLP, IBCLC

Individual provider Speech-Language Pathologist · NPI 1912143512

Mrs. Kellie Elizabeth Green, MA, CCC-SLP, IBCLC is a Speech-Language Pathologist in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2009
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

3600 Olentangy River Rd Bldg D Ste 107
Columbus, OH 43214-3437
Phone: (614) 974-2211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X · Licence L-310957 (OH)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SP.9217 (OH)

Record details

NPI number1912143512
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP , IBCLC
Sole proprietorYes
NPI enumeratedJanuary 2, 2009
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023

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