Kyle Shea, is a
Speech-language Pathologist based in Glenwood City, Wisconsin. Kyle Shea is licensed to practice in Wisconsin (license number 4153-154) and his current practice location is
612 E Oak St, Glenwood City, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 265-4325.
NPI number for Kyle Shea is 1285019422 and his current mailing address is 2510 W Princeton Ave, Eau Claire, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285019422.
Healthcare Provider's Profile
Full Name | Kyle Shea |
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Gender | Male |
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Speciality | Speech-language Pathologist |
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Location | 612 E Oak St, Glenwood City, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285019422
- Provider Enumeration Date: 07/29/2015
- Last Update Date: 07/29/2015
Medical Identifiers
Medical identifiers for Kyle Shea such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285019422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 4153-154 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Shea is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kyle Shea, 2510 W Princeton Ave, Eau Claire, WI 54703-3784 Ph: (715) 379-6323 | Kyle Shea, 612 E Oak St, Glenwood City, WI 54013-8520 Ph: (715) 265-4325 |
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