Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellam Black, SLP

Individual provider Speech-Language Pathologist · NPI 1255872024

Kellam Black, SLP is a Speech-Language Pathologist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

14550 Old Saint Augustine Rd
Jacksonville, FL 32258-2460
Phone: (904) 271-6575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA8959 (FL)

Record details

NPI number1255872024
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedMarch 13, 2017
Last updated in NPPESMarch 13, 2017

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