Individual ProviderKelly Ann FousekSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2904 Foltz Dr, Edgewood, KY 41017-2525(859) 795-3000(855) 324-0885PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Ann Fousek 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 ID1588232979Provider TypeIndividualFull NameFousek, Kelly AnnCredentialMS, CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date6/14/2021Last Updated9/30/2021Contact InformationPractice LocationPractice Address2904 Foltz Dr, Edgewood, KY 41017-2525Phone(859) 795-3000Fax(317) 520-8200Mailing LocationMailing Address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135Phone(855) 324-0885Fax(317) 520-8200Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense270719Kentucky