Individual ProviderKelly MartinSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address948 Dinosaur Dr, Erie, CO 80516-6576(518) 578-1347PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Martin 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 9:43 AM.Profile DetailsProvider ID1578100111Provider TypeIndividualFull NameMartin, KellyCredentialMA, CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date12/2/2019Last Updated12/2/2019Contact InformationPractice LocationPractice Address948 Dinosaur Dr, Erie, CO 80516-6576Phone(518) 578-1347FaxUnlisted FaxMailing LocationMailing Address948 Dinosaur Dr, Erie, CO 80516-6576Phone(518) 578-1347FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense0001772Colorado