MEDICARE: HEIDI KISKIN

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	24469968	CO

General Provider Information

NPI Number	:	1437948270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI KISKIN

Provider Business Mailing Address
First Line	:	899 N WASHINGTON ST APT 502
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-3313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10455 E 25TH AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80010-1207
Country	:	US
Telephone Number	:	720-863-8922
Fax Number	:

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

Provider Enumeration Date	:	05/06/2025
Last Update Date	:	05/06/2025

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Directions to “ HEIDI KISKIN ” 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.

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