| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELLEY DENEE KILCOIN | 1881749364 | 2024-04-07 |
Kelley Denee Kilcoin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881749364. Registration indicates Kelley Denee Kilcoin is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
| Entity Type | Individual |
| Provider Name | Mrs. Kelley Denee Kilcoin M.A. CCC-SLP |
| Practice Office Address | 713 FELDSPAR ST KEARNEY, MO US |
| Practice Office Telephone | 8169032646 |
| Mailing Address | 3516 RALEIGH AVE BETTENDORF, IA 527228215 US |
| Business Telephone | 8166741150 |
| Code | Practice | License No State |
|---|---|---|
| 235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | 146.010572
IL |
| 193400000X SING | Group Code |