Individual
MS. GAIL ANN KISLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 359-9570
Mailing address
3378 LEROY DR, AMMON, ID 83406-4537
(208) 542-5372
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1254
ID
Other
Enumeration date
03/12/2012
Last updated
07/30/2014
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