Individual
CAROL LYNNETTE KIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3774 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9550
(269) 428-2799
Mailing address
3774 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9550
(269) 428-2799
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002980
MI
Other
Enumeration date
12/02/2018
Last updated
12/02/2018
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