Keillor, Kristina Marie
Keillor, Kristina Marie is an individual health care provider with primary practice located at 333 Smith Ave N , Saint Paul MN 55102-2344. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Keillor, Kristina Marie can be contacted via phone (651) 241-8067.Contact Information
Primary practice address
333 Smith Ave N
Saint Paul MN 55102-2344
Phone: (651) 241-8067
Fax: (651) 241-7177
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 5857 | Minnesota |
Profile Details
NPI number | 1821125253 |
---|---|
LBN Legal business name | Keillor, Kristina Marie |
Credentials | MA, CCC-SLP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2007 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821125253 | NPPES |
Other | 01089078 | ASHA | |
Other | 5857 | ASHA |
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