Kelly Premo, M.S. CCC SLP
NPI 1891117990 · Early Intervention Provider Agency · Ballston Lake, NY
Kelly Premo, M.S. CCC SLP is a Early Intervention Provider Agency provider in Ballston Lake, NY (NPI 1891117990).
Provider details
- NPI number
- 1891117990
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Credential
- M.S. CCC SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 022776-1 (NY)
Specialties & taxonomies
Agencies
Speech, Language and Hearing Service Providers
Profile Score
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
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2014-01-09
- Last updated
- 2020-04-14
- Certified
- 2020-04-14
Frequently asked questions
- What is Kelly Premo's NPI number?
- Kelly Premo's National Provider Identifier (NPI) is 1891117990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Premo's specialty?
- Kelly Premo is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency (Agencies).
- Where is Kelly Premo located?
- Kelly Premo's practice location on file with NPPES is 118 Westside Dr, Ballston Lake, NY 12019-2028.
- What is Kelly Premo's phone number?
- The practice phone number listed in the NPPES registry for Kelly Premo is (518) 424-7971.
- Is Kelly Premo's NPI active?
- Yes — Kelly Premo's NPI (1891117990) is active in the NPPES registry as of the last update on 2020-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.