Individual
KILEY HEBERLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6109 ELLIOT AVE, MINNEAPOLIS, MN 55417-3155
(612) 208-2095
Mailing address
6109 ELLIOT AVE, MINNEAPOLIS, MN 55417-3155
(708) 341-3981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146014796
IL
235Z00000X
Speech-Language Pathologist
Primary
242261
—
235Z00000X
Speech-Language Pathologist
518296
MN
Other
Enumeration date
06/14/2018
Last updated
03/29/2023
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