Ketola, Nancilyn K

Ketola, Nancilyn K is an sole proprietor health care provider with primary practice located at 2315 E Mooreland Road , New Berlin WI 53151. 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. Ketola, Nancilyn K can be contacted via phone (262) 798-7200.

Contact Information

Primary practice address
2315 E Mooreland Road New Berlin WI 53151
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2184-154 Wisconsin

Profile Details

NPI number 1710103494
LBN Legal business name Ketola, Nancilyn K
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Sep 26th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710103494 NPPES
Wisconsin MEDICAID 1710103494

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