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NPI Code Detail

MEDICARE: MRS. KASI M. GILLIS MSE, CCC-SLP

MEDICARE:  MRS. KASI M. GILLIS  MSE, 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 Pathologist2966-154WI

General Provider Information

NPI Number : 1730370982
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KASI M. GILLIS MSE, CCC-SLP
Provider Business Mailing Address
First Line : 621 MAIN ST
Second Line :
City : PLUM CITY
State : WI
Zip : 54761-9044
Country : US
Telephone Number : 715-647-2911
Fax Number :
Provider Business Practice Location Address
First Line : 621 MAIN ST
Second Line :
City : PLUM CITY
State : WI
Zip : 54761-9044
Country : US
Telephone Number : 715-647-2911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2007
Last Update Date : 05/27/2026

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Directions to “ MRS. KASI M. GILLIS MSE, CCC-SLP” Practice Location

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