Healthcare Provider Details

I. General information

NPI: 1447168885
Provider Name (Legal Business Name): KELSEY LAUREN KRISS CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11940 ALPHARETTA HWY
ALPHARETTA GA
30009-2003
US

IV. Provider business mailing address

4785 ASHWELL LN
SUWANEE GA
30024-3311
US

V. Phone/Fax

Practice location:
  • Phone: 470-509-4557
  • Fax:
Mailing address:
  • Phone: 404-992-1386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP008347
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: