Provider Demographics
NPI:1194745760
Name:KNARR, KELSEY MARGARET (MA CFY-SLP)
Entity type:Individual
Prefix:MS
First Name:KELSEY
Middle Name:MARGARET
Last Name:KNARR
Suffix:
Gender:F
Credentials:MA CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 BEAUMONT DR
Mailing Address - Street 2:APT 102
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-1813
Mailing Address - Country:US
Mailing Address - Phone:814-758-0119
Mailing Address - Fax:
Practice Address - Street 1:857 CENTER CT UNIT D
Practice Address - Street 2:
Practice Address - City:SHOREWOOD
Practice Address - State:IL
Practice Address - Zip Code:60431-8520
Practice Address - Country:US
Practice Address - Phone:815-730-1818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist