MRS. KELLY LYNN WITTENAUER (M.S. SLP) – Speech-Language Pathologist, NPI 1508188046

MRS. KELLY LYNN WITTENAUER (M.S. SLP) is a healthcare provider. based in Ballwin, Missouri. specializing in Speech-Language Pathologist. They hold the professional credentials M.S. SLP. They hold a License No. 2009012464 (MO). The NPI Number for MRS. KELLY LYNN WITTENAUER (M.S. SLP) is 1508188046

Main info

Female
Sole Proprietor
Name
MRS. KELLY LYNN WITTENAUER (M.S. SLP)
NPI
1508188046
Phone
(314) 749-4744
Address
401 BALLWIN ESTATES CT.
Enumeration Date
25 February 2010
Last Update Date
30 January 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. KELLY LYNN WITTENAUER (M.S. SLP)

  • 401, Ballwin Estates Court, Ballwin Estates, Ballwin, Saint Louis County, Missouri, 63021, United States

    BALLWIN, MO 63021

    Phone: (314) 749-4744

    Type: Mailing

  • 17770, Mueller Road, Wildwood, Saint Louis County, Missouri, 63038, United States

    WILDWOOD, MO 63038

    Phone: (314) 749-4744

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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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 63021)

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Frequently asked questions

What federal number belongs to MRS. KELLY LYNN WITTENAUER (M.S. SLP)?
The federal identifier for MRS. KELLY LYNN WITTENAUER (M.S. SLP) is NPI 1508188046.
Is MRS. KELLY LYNN WITTENAUER (M.S. SLP)'s NPI currently valid?
The extract we use shows MRS. KELLY LYNN WITTENAUER (M.S. SLP) as active.
What kind of provider is MRS. KELLY LYNN WITTENAUER (M.S. SLP)?
The page reflects Speech-Language Pathologist for MRS. KELLY LYNN WITTENAUER (M.S. SLP). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. KELLY LYNN WITTENAUER (M.S. SLP)?
The page summarizes Ballwin, Missouri for MRS. KELLY LYNN WITTENAUER (M.S. SLP); expand the address list for detail.
How can I contact MRS. KELLY LYNN WITTENAUER (M.S. SLP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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