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Individual

MRS. KELLY SUZANNE KIGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC SLP

Contact information

Practice address
130 BILL GEORGE DR, WAYNESBURG, PA 15370-8122
(724) 627-3441
Mailing address
295 IRON ROCK RD, WAYNESBURG, PA 15370-3840
(724) 747-0385

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007999
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1011812080001
MASTER PROVIDER INDEX
PA
Enumeration date
04/03/2007
Last updated
07/08/2007
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