MEDICARE: MRS. KAY FRANCES MARSCHKE MS 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
1	235Z00000X	Speech-Language Pathologist	127-154	WI

General Provider Information

NPI Number	:	1336312453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAY FRANCES MARSCHKE MS CCC SLP

Provider Business Mailing Address
First Line	:	N9570 STATE HIGHWAY 102
Second Line	:
City	:	RIB LAKE
State	:	WI
Zip	:	54470-9419
Country	:	US
Telephone Number	:	715-427-5813
Fax Number	:

Provider Business Practice Location Address
First Line	:	N9570 STATE HIGHWAY 102
Second Line	:
City	:	RIB LAKE
State	:	WI
Zip	:	54470-9419
Country	:	US
Telephone Number	:	715-427-5813
Fax Number	:

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

Provider Enumeration Date	:	04/09/2008
Last Update Date	:	04/09/2008

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