Keshell Antron Gray , MS, CCC-SLP
Speech-Language Pathologist • Southaven, MS
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, Keshell Gray has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Keshell Gray, MS, CCC-SLP was a registered Speech-Language Pathologist practicing in Southaven, MS. Throughout an active medical career spanning 10 years, Keshell Gray provided care at the practice location at 7160 TCHULAHOMA RD until profile deactivation on 2018-08-24.
Practice Location & Contact Primary Location
7160 Tchulahoma Rd
Bldg. B Suite 4
Southaven, MS 386719266
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in Southaven, MS
Practicing in Southaven, MS (1519 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 235Z00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Speech-Language Pathologist
MSCCCSLP
Speech-Language Pathologist
Speech-Language Pathologist
Speech-Language Pathologist
MSCCCSLP
Occupational Therapist - Pediatrics
Occupational Therapist Registered, L, Master of Occupational Therapy
Occupational Therapist
Speech-Language Pathologist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record officially reactivated for active practice on September 08, 2018
Record deactivated on August 24, 2018
NPI status registered as active in NPPES database
Registered at 7160 TCHULAHOMA RD, BLDG. B SUITE 4, SOUTHAVEN, MS 386719266 (Tel: 6623492733)
Registered at 197 IRA RD, MOUND BAYOU, MS 387629708 (Tel: 6627412185)
Recorded as KESHELL GRAY, M.S., CCC-SLP
Speech-Language Pathologist (License #S3231 in MS)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
197 Ira Rd
Mound Bayou, MS 387629708
Phone: 6627412185
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