| Kaylin A Peterson, SLP | |
|
3315 Kethley Rd, Shawnee, OK 74804-9638 | |
| (405) 395-3821 | |
| (405) 395-3983 |
| Full Name | Kaylin A Peterson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3315 Kethley Rd, Shawnee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346907516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 5412 (Oklahoma) | Primary |
| Provider Name | Shawnee Medical Center Clinic, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881648285 PECOS PAC ID: 3870405434 Enrollment ID: O20031103000239 |
| Provider Name | Saints Medical Group, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaylin A Peterson, SLP 3315 Kethley Rd, Shawnee, OK 74804-9638 Ph: (405) 395-3821 | Kaylin A Peterson, SLP 3315 Kethley Rd, Shawnee, OK 74804-9638 Ph: (405) 395-3821 |
Mrs. Hannah Christine Waddell, MSCCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3903 N Harrison St, Shawnee, OK 74804 Phone: 405-585-2971 Fax: 405-585-2983 | |
Rebecca Louise Roberts, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1318 E Independence St, Shawnee, OK 74804 Phone: 502-553-5085 | |
Carol Reggio, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 326 N Union Ave, Shawnee, OK 74801 Phone: 405-273-6794 Fax: 405-878-1037 | |
Patricia Peak, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1102 W Macarthur St, Shawnee, OK 74804 Phone: 405-878-3470 | |
Kaitlyn Nicole Carter, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44038 45th St Ste A, Shawnee, OK 74804 Phone: 405-286-3749 | |
Mrs. Tonya Ann Bussell, MS CCC SLP SPEECH PA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 127 Steven Drive, Shawnee, OK 74804 Phone: 405-401-0606 | |
Mary Chakenatho, MA,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1904 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-273-2157 Fax: 405-275-5167 |