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

Traci Kellman

Individual provider Speech-Language Pathologist · NPI 1245167782

Traci Kellman is a Qualified Speech Language Pathologist in Oxford, Michigan. Qualified in 2004, 22 years ago. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2026

Practice location Address checks out

119 S Washington St
Oxford, MI 48371-6423
Phone: (248) 561-0748
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 7101002486 (MI)

Record details

NPI number1245167782
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2026
Last updated in NPPESMay 7, 2026
Certification dateMay 1, 2026
Mailing address7155 Willow Oak Dr, West Bloomfield, MI 48324-3080

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated

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