Brooke M.B. Kinney

Individual provider Active NPI Speech-Language Pathologist · Waunakee, WI

NPI 1619801412 · NPPES record last updated Jun 9, 2026

Key facts

NPI
1619801412
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
631755 (WI)
Practice address
501 South St
Waunakee, WI 53597-1419
Phone
(608) 849-2000
NPI assigned
Jun 9, 2026
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 631755 WI Yes

Addresses

Primary practice location

501 South St
Waunakee, WI 53597-1419

Mailing address

905 Bethel Cir
Waunakee, WI 53597-9589
Phone (608) 393-5491

Other providers in Waunakee, WI

All providers in Waunakee, WI · Speech-Language Pathologist in Wisconsin

Sources for this page

Verify at the official NPI Registry.