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Deactivated NPI 1619189958 Deactivated / Inactive NPI Female Practitioner

Kerry Kirk , MS CCC SLP

Speech-Language Pathologist • Hawthorne, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kerry Kirk has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 07, 2007
NPI Deactivation Date November 11, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Kerry Kirk, MS CCC SLP was a registered Speech-Language Pathologist practicing in Hawthorne, CA. Throughout an active medical career spanning 16 years, Kerry Kirk provided care at the practice location at 5120 W 135TH ST until profile deactivation on 2023-11-11.

Practice Location & Contact Primary Location

Practice Address

5120 W 135th St

Hawthorne, CA 902505630

Telephone 3102597502

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Hawthorne, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
23 Specialists

Practicing in Hawthorne, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA SP 10704

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 11, 2023

Record deactivated on November 11, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5120 W 135TH ST, HAWTHORNE, CA 902505630 (Tel: 3102597502)

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Updated Business Mailing Address July 08, 2007

Registered at 5120 W 135TH ST, HAWTHORNE, CA 902505630 (Tel: 3102597502)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KERRY KIRK, M.S. CCC SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #SP 10704 in CA)

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Initial NPI Registration & Enumeration May 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619189958
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2007
Last Update: July 08, 2007
Deactivation Date: November 11, 2023

Mailing Address

5120 W 135th St

Hawthorne, CA 902505630

Phone: 3102597502

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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