IndividualActive
Kathryn Kelly, M.S., CCC-SLP
NPI 1093134314 · Speech-Language Pathologist · Cornelia, GA
Provider details
- NPI number
- 1093134314
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SLP006253 (GA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
104 Builders Pkwy Ste B
Cornelia, GA 30531-5397
Phone: (678) 616-3099
Fax: (770) 406-6840
Street-level locationGet directions
Mailing address
1060 N Falling Waters Dr
Demorest, GA 30535-4733
Additional practice locations (2)
- 1060 N Falling Waters DrDemorest, GA 30535-4733Phone: (706) 894-6045
- 428 S Enota Dr NeGainesville, GA 30501-2548Phone: (678) 865-4947Fax: (678) 707-8552
Registry dates
- Enumerated
- 2014-04-15
- Last updated
- 2024-08-19
- Certified
- 2024-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.