Provider Demographics
NPI:1316432982
Name:PUFFINBURGER, KELSEY NICOLE (SLP)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:NICOLE
Last Name:PUFFINBURGER
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 1:124 ELMBROOK RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-9752
Mailing Address - Country:US
Mailing Address - Phone:724-683-5969
Mailing Address - Fax:
Practice Address - Street 1:124 ELMBROOK RD
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-9752
Practice Address - Country:US
Practice Address - Phone:724-683-5969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-26
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty