Individual
MRS. DEANNA MARIE KILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
7361 WOBURN CIR APT 1, ANCHORAGE, AK 99502-7139
(907) 441-4161
Mailing address
7361 WOBURN CIRCLE, #1, ANCHORAGE, AK 99502
(907) 441-4161
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12075264
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12075264
ASHA CERT. #
AK
01
—
150
PROFESSIONAL LICENSE
AK
Enumeration date
05/07/2007
Last updated
04/24/2008
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