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NPI Code Detail

MEDICARE: KATHERINE MARIE KIEFFER CCC-SLP

MEDICARE:   KATHERINE MARIE KIEFFER  CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist12011356

General Provider Information

NPI Number : 1356527303
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MARIE KIEFFER CCC-SLP
Provider Business Mailing Address
First Line : 3623 RIDGE DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-6853
Country : US
Telephone Number : 605-791-1054
Fax Number :
Provider Business Practice Location Address
First Line : 3623 RIDGE DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-6853
Country : US
Telephone Number : 605-791-1054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2008
Last Update Date : 01/20/2008

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Directions to “ KATHERINE MARIE KIEFFER CCC-SLP” Practice Location

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