Kelly Shaw, MS CCC-SLP - Speech-Language Pathologist in Kenosha, WI

Kelly Shaw, MS CCC-SLP is a Speech-language Pathologist based in Kenosha, Wisconsin. Kelly Shaw is licensed to practice in Wisconsin (license number 3456-154) and her current practice location is 5219 88th Ave, Kenosha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 653-0850.

NPI number for Kelly Shaw is 1790049807 and her current mailing address is 14460 W Honey Ln, New Berlin, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790049807.

Contact Information

Kelly Shaw, MS CCC-SLP
5219 88th Ave,
Kenosha, WI 53144-7468
(262) 653-0850
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelly Shaw
GenderFemale
SpecialitySpeech-language Pathologist
Location5219 88th Ave, Kenosha, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790049807
  • Provider Enumeration Date: 07/03/2012
  • Last Update Date: 07/03/2012

Medical Identifiers

Medical identifiers for Kelly Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790049807NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 3456-154 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Shaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Shaw, MS CCC-SLP
14460 W Honey Ln,
New Berlin, WI 53151-2314

Ph: () -
Kelly Shaw, MS CCC-SLP
5219 88th Ave,
Kenosha, WI 53144-7468

Ph: (262) 653-0850

Reviews and Comments


Speech-Language Pathologist in Kenosha, WI

Mrs. Auburn Lea Andes, M.S. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6300 67th St, Kenosha, WI 53142
Phone: 262-484-4724    
Noel Zanotti, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 8400 Sheridan Rd, Kenosha, WI 53143
Phone: 262-658-4141    Fax: 262-658-0618
Jacqueline Ann Kubis, SLP- CFY
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 3415 Sheridan Road, Kenosha, WI 53140
Phone: 262-653-2941    
Diane Arndt, SPEECH THERAPIST
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 5219 88th Ave, Kenosha, WI 53144
Phone: 262-653-0850    
Kaitlyn King, MS, CF-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 5219 88th Ave., Kenosha, WI 53144
Phone: 262-653-0850    
Tarah A Fedenia,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 8400 Sheridan Rd, Kenosha, WI 53143
Phone: 262-658-4141    
Sophia Polaris, M.S., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 5219 88th Ave, Kenosha, WI 53144
Phone: 262-653-0850    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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