MEDICARE: KILEY SELLERS SLPA

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
1	2355S0801X	Speech-Language Assistant	SAS3380	ME

General Provider Information

NPI Number	:	1295486819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KILEY SELLERS SLPA

Provider Business Mailing Address
First Line	:	423 US ROUTE 1 UNIT C
Second Line	:
City	:	PEMBROKE
State	:	ME
Zip	:	04666-4634
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	423 US ROUTE 1 UNIT C
Second Line	:
City	:	PEMBROKE
State	:	ME
Zip	:	04666-4634
Country	:	US
Telephone Number	:	207-726-2103
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2022
Last Update Date	:	01/14/2022

Similar Medicare Providers

1548207525 — MS. CHRISTINE ROSE DEERING PHD
Practice Location Address:

58 HERSEY RD
PEMBROKE, ME
04666-4306

Practice Phone: 207-726-4007
Practice Fax: 207-726-4007

1134275001 — MRS. LINDA E ASHBY C.N.A.
Practice Location Address:

284 E RIVER RD
PEMBROKE, ME
04666-4408

Practice Phone: 207-726-9528
Practice Fax: 207-726-9528

1659609758 — PEMBROKE ELEMENTARY SCHOOL
Practice Location Address:

36 US ROUTE 1
PEMBROKE, ME
04666-4635

Practice Phone: 207-726-5564
Practice Fax: 207-726-5139

1730488636 — CHRISTINE M FOURNIER SLPA
Practice Location Address:

143 MT TOM RD
PEMBROKE, ME
04666-4702

Practice Phone: 207-726-5016
Practice Fax:

1740526953 — SHELLEY ALANE THERIAULT LMSW
Practice Location Address:

15 KIDS COR
MACHIAS, ME
04654-3328

Practice Phone: 207-255-8473
Practice Fax:

1619366945 — KATHARINE EVANS, LCSW
Practice Location Address:

5 LOWELL ST , SUITE 4
CALAIS, ME
04619-1712

Practice Phone: 207-214-7920
Practice Fax: 207-726-4210

Directions to “ KILEY SELLERS SLPA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.