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

Individual provider Speech-Language Pathologist · NPI 1104884378

Mrs. Kelly Ann Fairris, MACCCSLP is a Speech-Language Pathologist in Dyer, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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Practice location Address checks out

440 Edmond Dr
Dyer, IN 46311-1523
Phone: (219) 322-1415
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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 22004186A (IN)

Record details

NPI number1104884378
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESSeptember 30, 2021
Certification dateSeptember 30, 2021

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