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General NPI Number Information
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NPI Number | 1023941036
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Entity Type | Individual
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Provider Name | KELSY HUTTENLOCHER
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Gender | Female
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 5900 S SUNNY SLOPE RD
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City | NEW BERLIN
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State | WI
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Zip | 53151-8719
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Country | US
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Telephone | 262-789-6581
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Fax |
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Provider Business Mailing Address
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Address Line | N75W24018 OVERLAND RD
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City | SUSSEX
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State | WI
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Zip | 53089-1990
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Country | US
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Telephone | 262-389-9039
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 1001405883
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License Number State | WI
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