| Kelly Jean Martin, MA CCC-SLP | |
|
5264 Council St Ne, Cedar Rapids, IA 52402-2471 | |
| (319) 929-0500 | |
| Not Available |
| Full Name | Kelly Jean Martin |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 5264 Council St Ne, Cedar Rapids, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871878645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 002121 (Iowa) | Primary |
| Provider Name | Brandhorst Speech Therapy |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720580475 PECOS PAC ID: 7214289750 Enrollment ID: O20181010002038 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Jean Martin, MA CCC-SLP 5264 Council St Ne, Cedar Rapids, IA 52402-2471 Ph: (319) 929-0500 | Kelly Jean Martin, MA CCC-SLP 5264 Council St Ne, Cedar Rapids, IA 52402-2471 Ph: (319) 929-0500 |
Patricia Lynn Morin Bole, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 402 10th St Se, Suite 700, Cedar Rapids, IA 52403 Phone: 319-365-9439 Fax: 319-365-9368 | |
Kori R Assman Nolting, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 701 10th St Se, Cedar Rapids, IA 52403 Phone: 319-398-6104 | |
Lynn M Reed, MA, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 402 10th St Se, Suite 700, Cedar Rapids, IA 52403 Phone: 319-365-9439 Fax: 319-365-9368 | |
Kate E Lennon, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3245 Williams Pkwy Sw, Cedar Rapids, IA 52404 Phone: 319-368-5886 | |
Mrs. Randi Renee Dinkelman, S.T. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 10th St Se, Speech Therapy Department, Cedar Rapids, IA 52403 Phone: 319-398-6881 Fax: 319-369-4577 | |
Mrs. Mallory Ruth Heckert, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6249 Muirfield Dr Sw, Cedar Rapids, IA 52404 Phone: 319-535-2077 | |
Mrs. Claire Elise Petersen, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 600 7th St Se Ste 102, Cedar Rapids, IA 52401 Phone: 520-398-6881 |