KELLEY STORK


Address: 807 W Columbia Terrace, Peoria, IL 61606
Phone: 3096822693

KELLEY STORK (NPI# 1194292334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194292334
Entity Type Individual
Full Name KELLEY STORK
Other Name KELLEY FORD
Practice Address 807 W Columbia Terrace
Peoria
IL 61606
Mailing Address 389 Illini Drive
Hopewell
IL 61565
Practice Telephone 3096822693
Enumeration Date 2018-10-25
Last Update Date 2018-10-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers

Office Location

Street Address 807 W COLUMBIA TERRACE
City PEORIA
State IL
Zip Code 61606

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689140519 Emma Cristine Tully Speech-Language Pathologist 1619 W. Fredonia Ave, Peoria, IL 61606 2018-10-18
1316492432 Jennifer Greenwood Nurse Practitioner 1001 Main St Ste 500a, Peoria, IL 61606 2016-08-18
1104944974 Robert I Martin Preventive Medicine 1127 N North Street, Peoria, IL 61606 2007-03-27
1023062312 Saint Francis Medical Center Physical Medicine & Rehabilitation 100 Ne Randoph Street, Peoria, IL 61606 2006-05-20
1174573307 Cpo Services, Inc Prosthetic/Orthotic Supplier 741 West Main Street, Peoria, IL 61606 2006-05-10
1174025357 Amy M Durst Nurse Practitioner 1001 Main St Ste 500a, Peoria, IL 61606 2018-03-05
1538471099 Jacob Royle Hopping Surgery 1001 Main St Ste 300, Peoria, IL 61606 2010-07-12
1881906410 Heather Jefford Clinical Nurse Specialist 1001 Main St, 3rd Floor, Peoria, IL 61606 2010-07-12
1306874128 David L Crawford Surgery 1001 Main Street, Suite 300, Peoria, IL 61606 2006-06-29
1205864170 Norman C Estes Surgery 1001 Main Street, Suite 300, Peoria, IL 61606 2006-06-29
Find all providers in zip 61606

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093327496 Angela Mitchell Speech-Language Pathologist 3903 W Ridgeview Dr, Peoria, IL 61615 2020-08-18
1558916676 Ashlyn Logston Speech-Language Pathologist 8092 W Paradise Ln Apt 1097, Peoria, AZ 85382-4982 2019-08-06
1700443074 Julie Ann Kelly Speech-Language Pathologist 1619 W Fredonia Ave, Peoria, IL 61606-1664 2019-05-22
1619441342 Jean Marie Bachman Speech-Language Pathologist 918 W Florence Ave, Peoria, IL 61604-1304 2019-01-16
1780155697 Alexandra Marie Jones Speech-Language Pathologist 2315 N Sterling Ave, Peoria, IL 61604-3124 2018-12-17
1760951412 Casey Lyn Janko Speech-Language Pathologist 5409 N Knoxville Ave Ste 103, Peoria, IL 61614-5069 2018-11-23
1689140519 Emma Cristine Tully Speech-Language Pathologist 1619 W. Fredonia Ave, Peoria, IL 61606 2018-10-18
1982179123 Jenny R. Doering Speech-Language Pathologist 4603 N Knoxville Ave, Peoria, IL 61614-6107 2018-10-03
1356825418 Anne M Hall Speech-Language Pathologist 700 Mary St, Peoria, IL 61603-3432 2018-09-24
1407330947 Shanna Boyer Speech-Language Pathologist 1819 W Northmoor Rd, Peoria, IL 61614-3332 2018-09-20
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61606

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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