Provider Demographics
NPI:1184246779
Name:MCKEY, KELSEY LEE (SLP)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:LEE
Last Name:MCKEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 HOUSTON AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-6237
Mailing Address - Country:US
Mailing Address - Phone:713-523-3633
Mailing Address - Fax:713-523-8399
Practice Address - Street 1:1417 HOUSTON AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-6237
Practice Address - Country:US
Practice Address - Phone:713-523-3633
Practice Address - Fax:713-523-8399
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115710231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner