Individual
KELLI KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
W173N10915 BERNIES WAY, GERMANTOWN, WI 53022-4043
(262) 509-3300
Mailing address
W173N10915 BERNIES WAY, GERMANTOWN, WI 53022-4043
(262) 509-3300
(262) 251-7359
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1291-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42777500
—
WI
Enumeration date
08/13/2006
Last updated
12/28/2021
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