Mrs Kelly Larson, SLP | |
701 W 6th St, Grafton, ND 58237-1379 | |
(701) 352-2574 | |
(701) 352-0188 |
Full Name | Mrs Kelly Larson |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 701 W 6th St, Grafton, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548301161 | NPI | - | NPPES |
58908 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 485 (North Dakota) | Primary |
Provider Name | Life Skills And Transition Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558427708 PECOS PAC ID: 7113986159 Enrollment ID: O20041006000563 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kelly Larson, SLP 701 W 6th St, Grafton, ND 58237-1379 Ph: (701) 352-2574 | Mrs Kelly Larson, SLP 701 W 6th St, Grafton, ND 58237-1379 Ph: (701) 352-2574 |
Carol Rice, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 W 6th St, Grafton, ND 58237 Phone: 701-352-2574 Fax: 701-352-0188 | |
Mrs. Kristin Ziegelmann, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 309 Hill Ave, Grafton, ND 58237 Phone: 701-330-0911 | |
Mrs. Elizabeth G Duncan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 W 6th St, Grafton, ND 58237 Phone: 701-352-2574 Fax: 701-352-0188 | |
Katlyn Kaiser, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 516 Cooper Ave, Grafton, ND 58237 Phone: 701-352-2574 Fax: 701-352-0188 | |
Mrs. Jackie Midgarden, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 830 W 15th St, Grafton, ND 58237 Phone: 701-352-1739 | |
Courtney Ellertson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 516 Cooper Ave, Grafton, ND 58237 Phone: 701-352-2574 Fax: 701-352-0188 | |
Kendall Groves, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 516 Cooper Ave, Grafton, ND 58237 Phone: 701-352-2574 Fax: 701-352-0188 |