Karen Kiffmeyer, M.S. CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Midlothian, IL

NPI 1487859690 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1487859690
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
14425 Kildare Ave
Midlothian, IL 60445-2649
Phone
(708) 309-5459
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146-006143ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Advantage, Inc Speech-Language Pathologist Past Accepting new patients
Anne K. Bludgen Speech Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X IL Yes

Addresses

Primary practice location

14425 Kildare Ave
Midlothian, IL 60445-2649

Mailing address

7709 173Rd St
Tinley Park, IL 60477-3256

Other providers in Midlothian, IL

All providers in Midlothian, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.