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NPI Code Detail

MEDICARE: KELLY MARIE GEARY RUGGLES SLP

MEDICARE: KELLY MARIE GEARY RUGGLES 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 Pathologist3057MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043550734
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY MARIE GEARY RUGGLES SLP
Provider Business Mailing Address
First Line : 708 BROADWATER AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59101-2710
Country : US
Telephone Number : 406-259-1680
Fax Number : 406-259-1777
Provider Business Practice Location Address
First Line : 708 BROADWATER AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59101-2710
Country : US
Telephone Number : 406-259-1680
Fax Number : 406-259-1777
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2013
Last Update Date : 09/16/2019

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