Organization Active NPI

Kilgallon Speech & Language, PLLC

  • Speech-Language Pathologist
  • Ann Arbor, MI
National Provider Identifier
1629913355
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KILGALLON SPEECH & LANGUAGE, PLLC
Practice address
3238 Bolgos Cir
Ann Arbor, MI 48105-1589
Phone
(734) 330-1088
NPI assigned
Apr 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristopher David Kilgallon, M.A., CCC-SLP/LNPI 1700565223
Title
Speech-Language Pathologist
Phone
(734) 330-1088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3238 Bolgos Cir
Ann Arbor, MI 48105-1589

Mailing address

3238 Bolgos Cir
Ann Arbor, MI 48105-1589
Phone (734) 330-1088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260611002076 MI Part B Supplier - Clinic/Group Practice 9931671831 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1629913355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 BOLGOS CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051589",
            "telephone_number": "734-330-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 BOLGOS CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051589",
            "telephone_number": "734-330-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILGALLON SPEECH & LANGUAGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "KILGALLON",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "734-330-1088",
        "authorized_official_credential": "M.A., CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.