Orysen, Kelly Marie
Orysen, Kelly Marie is an individual health care provider with primary practice located at 103 S Gibson St , Medford WI 54451-1622. 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. Orysen, Kelly Marie can be contacted via phone (715) 748-8112.Contact Information
Primary practice address
103 S Gibson St
Medford WI 54451-1622
Phone: (715) 748-8112
Fax: (715) 748-8792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2961154 | Wisconsin |
Profile Details
| NPI number | 1497937957 |
|---|---|
| LBN Legal business name | Orysen, Kelly Marie |
| Credentials | MS CCC- SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2007 |
| Last updated | Jul 7th, 2009 - about 15 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 | 1497937957 | NPPES |
| Wisconsin | MEDICAID | 42586500 |
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