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NPI Code Detail

MEDICARE: MS. GRETCHEN CARLA KILBEY M.S., CCC-SLP

MEDICARE: MS. GRETCHEN CARLA KILBEY 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 Pathologist716-154WI

General Provider Information

NPI Number : 1245489996
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GRETCHEN CARLA KILBEY M.S., CCC-SLP
Provider Business Mailing Address
First Line : 61567 HAVEN DR
Second Line :
City : PRAIRIE DU CHIEN
State : WI
Zip : 53821-8830
Country : US
Telephone Number : 608-326-4219
Fax Number :
Provider Business Practice Location Address
First Line : 61567 HAVEN DR
Second Line :
City : PRAIRIE DU CHIEN
State : WI
Zip : 53821-8830
Country : US
Telephone Number : 608-326-4219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2008
Last Update Date : 09/17/2008

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Directions to “ MS. GRETCHEN CARLA KILBEY M.S., CCC-SLP” Practice Location

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