Individual
KILEY KREMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1308 CHERRY DR, BOZEMAN, MT 59715-5923
(406) 581-2591
Mailing address
528 E SPOKANE FALLS BLVD, SPOKANE, WA 99202-5081
(509) 465-1252
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61066761
WA
235Z00000X
Speech-Language Pathologist
SLP-SP-LIC-8800
MT
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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