Kyllo, Teresa Marie

Kyllo, Teresa Marie is an sole proprietor health care provider with primary practice located at 711 17Th Ave W , Williston ND 58801-4529. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Kyllo, Teresa Marie can be contacted via phone (701) 572-0731.

Contact Information

Primary practice address
711 17Th Ave W Williston ND 58801-4529
Phone: (701) 572-0731
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 442 North Dakota

Profile Details

NPI number 1326145947
LBN Legal business name Kyllo, Teresa Marie
Credentials MS CCC-SP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326145947 NPPES
North Dakota Other 25555 BCBS PROVIDER ID NUMBER
North Dakota MEDICAID 58528 BCBS PROVIDER ID NUMBER

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