Kelly Rourke in Plymouth Meeting - Speech-language Pathologist
Kelly Rourke - NPI 1124243894
Kelly Rourke is a Speech-language Pathologist in Plymouth Meeting, Pennsylvania. Kelly Rourke practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kelly Rourke is 1124243894. The last update date is 2007-07-08.
Kelly Rourke's current location address is Kencrest Services, Plymouth Meeting, Pennsylvania. You can contact this provider via phone number 6108259360 and fax number 6108252414. The mailing address for Kelly Rourke is Kencrest Services, Plymouth Meeting, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Rourke |
|---|---|
| Address | Kencrest Services, Plymouth Meeting, Pennsylvania |
| Phone Number | 6108259360 |
| Fax Number | 6108252414 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124243894 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Kencrest Services |
|---|---|
| City | Plymouth Meeting |
| State | Pennsylvania (PA) |
| Post Code | 19462 |
| Phone Number | 6108259360 |
| Fax Number | 6108252414 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SL008468 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1017297660001 | PA | MA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kelly Rourke?
The Kelly Rourke has been issued the NPI (National Provider Identifier) 1124243894 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kelly Rourke?
The Kelly Rourke is physically situated at Kencrest Services, in the city of Plymouth Meeting, state of PA, with the postal code 19462.
What is Kelly Rourke's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly Rourke's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date did the Kelly Rourke receive the assignment of its 1124243894 from the Centers for Medicare & Medicaid Services?
The Kelly Rourke was issued its 1124243894 by the Centers for Medicare & Medicaid Services on 2007-04-16.
As of what date was the information regarding Kelly Rourke, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly Rourke, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.