Kelly Declark

Speech-Language Pathologist · Holly, MI

Individual Active NPI

NPI number 1841124740

Practice location

10483 Dixie Hwy
Holly, MI 48442-9311
Phone
(810) 771-7686

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NPI record

NPI
1841124740
Entity type
Individual (Type 1)
Enumeration date
June 9, 2026
Last updated
June 9, 2026
Certified
June 9, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 7152001440 MI

About Kelly Declark

Kelly Declark is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 10483 Dixie Hwy, Holly, MI 48442-9311. The NPI number 1841124740 was assigned on June 9, 2026 and the record was last updated on June 9, 2026.

Kelly Declark lists a license in the registry: #7152001440 (MI) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelly Declark?

The NPI number is 1841124740.

What is the phone number of Kelly Declark?

The phone number listed for the practice location is (810) 771-7686.

Where is Kelly Declark located?

10483 Dixie Hwy, Holly, MI 48442-9311.

What is the taxonomy code for Kelly Declark?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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