Kelly C Heinze
Individual provider Active NPI Speech-Language Pathologist · Garrison, ND
NPI 1306328596 · NPPES record last updated Sep 4, 2018
Key facts
- NPI
- 1306328596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1661 (ND)
- Practice address
- 205 2ND Ave NE
Garrison, ND 58540-7168 - Phone
- (701) 463-2213
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 1661 | ND | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1661 | ND | Yes |
Addresses
Primary practice location
205 2ND Ave NE
Garrison, ND 58540-7168
Mailing address
1201 45TH Ave NW Lot 3
Garrison, ND 58540-9420
Other practice location 1
51 5th Ave NE
Garrison, ND 58540-7348
Phone (701) 463-2213
Other providers in Garrison, ND
- Garrison-Max Ambulance District
- Denise Marie Gradin
- Luanna Graeber
- Ann Hagen-Reinholt
- Vern Allen Harchenko
- Forrest Leroy Hirsch
- Heather Leah Hunt
- Tammy K Iglehart
- Kelly Chiropractic, PC
- Lakeview Chiropractic
All providers in Garrison, ND · Speech-Language Pathologist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2018. 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.