Individual ProviderSamantha KellySpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1860 N Lincoln St, Denver, CO 80203-7301(720) 785-3483PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Kelly does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:08 PM.Profile DetailsProvider ID1417369448Provider TypeIndividualFull NameKelly, SamanthaCredentialMS CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date5/26/2014Last Updated11/13/2023Contact InformationPractice LocationPractice Address1860 N Lincoln St, Denver, CO 80203-7301Phone(720) 785-3483FaxUnlisted FaxMailing LocationMailing Address1860 N Lincoln St, Denver, CO 80203-7301Phone(720) 785-3483FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSLP.0000847ColoradoCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense306173Colorado