MEDICARE: RACHEL ERIN KISLING M.S. 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
1	235Z00000X	Speech-Language Pathologist	30005276	NC

General Provider Information

NPI Number	:	1699414292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ERIN KISLING M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	406 HOFER CT
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-5494
Country	:	US
Telephone Number	:	540-641-2644
Fax Number	:

Provider Business Practice Location Address
First Line	:	2719 GRAVES DR STE 19
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-4550
Country	:	US
Telephone Number	:	252-341-9944
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2022
Last Update Date	:	06/10/2026

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Directions to “ RACHEL ERIN KISLING M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

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