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Organization

KGK SPEECH SERVICES LLC

Active
Other names
KGK Speech Services LLC
Organization subpart
No

Provider details

NPI number
Authorized official
KARA KRIETE (OWNER)
(202) 670-2368
Entity
Organization

Contact information

Practice address
8975 GUILFORD RD STE 190, COLUMBIA, MD 21046-2386
(202) 280-2559
(410) 695-3154
Mailing address
8975 GUILFORD RD STE 190, COLUMBIA, MD 21046-2386
(202) 280-2559
(410) 695-3154

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
08684
MD
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073158325
TRICARE
MD
01
1093222911
MEDICARE ADVANTAGE
MD
01
1518480318
TRICARE
MD
Enumeration date
05/08/2018
Last updated
01/30/2026
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