MEDICARE: KELSEY READ SLP-CCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist		WA

General Provider Information

NPI Number	:	1174461784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY READ SLP-CCC

Provider Business Mailing Address
First Line	:	797 COURAGE CT SE
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-6501
Country	:	US
Telephone Number	:	925-922-1351
Fax Number	:

Provider Business Practice Location Address
First Line	:	3281 BANNER RD SE
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-8810
Country	:	US
Telephone Number	:	360-443-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ KELSEY READ SLP-CCC” Practice Location

Language	Start Address	Practice Location

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