MRS. KELLI DOUGLAS (M.A. CCC-SLP) – Speech-Language Pathologist, NPI 1003297680

MRS. KELLI DOUGLAS (M.A. CCC-SLP) is a healthcare provider. based in Kansas city, Missouri. specializing in Speech-Language Pathologist. They hold the professional credentials M.A. CCC-SLP. They hold a License No. 3800 (KS). The NPI Number for MRS. KELLI DOUGLAS (M.A. CCC-SLP) is 1003297680

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLI DOUGLAS (M.A. CCC-SLP)
NPI
1003297680
Phone
(913) 588-6701
Address
PO BOX 411851
Enumeration Date
9 June 2015
Last Update Date
20 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9135881942
Graduation Year
2014 (12 years ago)
PAC ID
1557670759
Group Practice PAC ID
8921911587
Professional Enrollment ID
I20151028001849
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for MRS. KELLI DOUGLAS (M.A. CCC-SLP)

  • PO BOX 411851

    KANSAS CITY, MO 641411851

    Phone: (913) 588-6701

    Fax: (913) 588-6677

    Type: Mailing

  • 3901 RAINBOW BLVD

    KANSAS CITY, KS 661608500

    Phone: (913) 588-6745

    Fax: (913) 588-4676

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64141)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921911587View full group profile
NameSpecialtyState
Family PracticeKS
Nurse PractitionerKS
Certified Registered Nurse Anesthetist (Crna)KS
-KS
-KS
Rheumatology, Internal MedicinePA
-MO
Qualified AudiologistMO
Hospitalist, Internal MedicineKS
-MO

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. KELLI DOUGLAS (M.A. CCC-SLP)'s NPI?
Yes. MRS. KELLI DOUGLAS (M.A. CCC-SLP) is listed with NPI 1003297680 in the public NPI dataset.
Can I rely on MRS. KELLI DOUGLAS (M.A. CCC-SLP) being an active provider?
As of the registry snapshot, MRS. KELLI DOUGLAS (M.A. CCC-SLP) is marked active.
What is MRS. KELLI DOUGLAS (M.A. CCC-SLP)'s specialty?
The listing groups MRS. KELLI DOUGLAS (M.A. CCC-SLP) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. KELLI DOUGLAS (M.A. CCC-SLP) on a map?
Expect Kansas City, Missouri as a primary anchor for MRS. KELLI DOUGLAS (M.A. CCC-SLP) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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