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NPI Code Detail

MEDICARE: MRS. JANELLE D. KILMER M.S., CCC-SLP

MEDICARE: MRS. JANELLE D. KILMER 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
1235Z00000XSpeech-Language PathologistSL011373PA

General Provider Information

NPI Number : 1215332747
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANELLE D. KILMER M.S., CCC-SLP
Provider Business Mailing Address
First Line : 846 E WICONISCO AVE
Second Line :
City : TOWER CITY
State : PA
Zip : 17980-1609
Country : US
Telephone Number : 717-523-1257
Fax Number :
Provider Business Practice Location Address
First Line : 846 E WICONISCO AVE
Second Line :
City : TOWER CITY
State : PA
Zip : 17980-1609
Country : US
Telephone Number : 717-523-1257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2014
Last Update Date : 10/27/2014

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Directions to “ MRS. JANELLE D. KILMER M.S., CCC-SLP” Practice Location

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