NPI 1336584978 · live from the CMS NPI Registry
Kristine Beard
Speech-Language Pathologist, in Ketchikan, AK. National Provider Identifier 1336584978, active.
NPI record
| NPI | 1336584978 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 333 Schoenbar Rd, Ketchikan, AK 99901 |
| Practice phone | 501-208-4873 |
| Mailing address | Po Box 478, Salida, CO 81201 |
| Enumerated | May 9, 2013 |
| Last updated | August 4, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SLPS519 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.