MEDICARE: MS. BETHANN KAY KANNING MSCCC/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
1	235Z00000X	Speech-Language Pathologist	SLP-SP-LIC-8113	MT

General Provider Information

NPI Number	:	1306272133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BETHANN KAY KANNING MSCCC/SLP

Provider Business Mailing Address
First Line	:	3230 COUNTRY CLUB CIR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-0665
Country	:	US
Telephone Number	:	701-412-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1655 SHILOH RD STE D
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59106-1726
Country	:	US
Telephone Number	:	406-969-2770
Fax Number	:	406-969-1340

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

Provider Enumeration Date	:	09/25/2013
Last Update Date	:	07/26/2022

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Directions to “ MS. BETHANN KAY KANNING MSCCC/SLP” Practice Location

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