Mrs Kelly J Fisk-wanzek, MA, CCC-SLP is a
Speech-language Pathologist based in Redwood Falls, Minnesota. Mrs Kelly J Fisk-wanzek is licensed to practice in Minnesota (license number 397218) and her current practice location is
28639 Laser Ave, Redwood Falls, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 644-2017.
NPI number for Mrs Kelly J Fisk-wanzek is 1083736102 and her current mailing address is 28639 Laser Ave, Redwood Falls, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083736102.
Healthcare Provider's Profile
| Full Name | Mrs Kelly J Fisk-wanzek |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 28639 Laser Ave, Redwood Falls, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083736102
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Kelly J Fisk-wanzek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083736102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 397218 (Minnesota) | Primary |
| 235Z00000X | Speech-language Pathologist | 2827-154 (Wisconsin) | Secondary |
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. Mrs Kelly J Fisk-wanzek 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 |
|---|
Mrs Kelly J Fisk-wanzek, MA, CCC-SLP
28639 Laser Ave,
Redwood Falls, MN 56283-2423
Ph: (507) 644-2017 | Mrs Kelly J Fisk-wanzek, MA, CCC-SLP
28639 Laser Ave,
Redwood Falls, MN 56283-2423
Ph: (507) 644-2017 |
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