Kathryn Anne Bruflat, MS-CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Pewaukee, WI
NPI 1104036409 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104036409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 889-154 (WI)
- Practice address
- 321 Riverside Dr
Pewaukee, WI 53072-4612 - Phone
- (262) 691-2300
- Fax
- (262) 691-6256
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 889-154 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 889-154 | WI | Yes |
Addresses
Primary practice location
321 Riverside Dr
Pewaukee, WI 53072-4612
Mailing address
W330N6264 Hasslinger Dr
Nashotah, WI 53058-9732
Phone (262) 691-6262
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42722200 | Medicaid | WI |
Other providers in Pewaukee, WI
- Michael Branda
- Tonia Marie Brandt
- Kiersten Elizabeth Braun
- Cheryl Ann Breitlow
- Gloria Brooks II
- Bryan J Schwartz DDS, SC
- Jill Buchholz
- Ramona Buchlmayer
- Michael A Buckholdt
- Patricia A. Burke
All providers in Pewaukee, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.