Individual
KELLY BURGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3832 E HAMILTON AVE, EAU CLAIRE, WI 54701-8106
(715) 852-4681
Mailing address
3832 E HAMILTON AVE, EAU CLAIRE, WI 54701-8106
(715) 852-4681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
841127
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14282932
ASHA
WI
Enumeration date
03/11/2026
Last updated
03/11/2026
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