Individual ProviderKamryn Lee ElliottSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2907 Miori Ln, Victoria, TX 77901(361) 573-0731PECOS EnrollmentBased on the most recent information from CMS, provider Kamryn Lee Elliott 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 12:57 PM.Profile DetailsProvider ID1497221519Provider TypeIndividualFull NameElliott, Kamryn LeeCredentialSLPGenderFemaleSole ProprietorYesEnumeration Date10/16/2018Last Updated11/22/2022Contact InformationPractice LocationPractice Address2907 Miori Ln, Victoria, TX 77901Phone(361) 573-0731Fax(361) 573-1594Mailing LocationMailing Address1905 Leary Ln, Victoria, TX 77901Phone(361) 573-0731Fax(361) 573-1594Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense113923TexasProvider IdentifiersIDDescriptionIssuerID113923DescriptionOtherIssuerSPEECH LANGUAGE PATHOLOGISTTexas