Mrs Kimberly Marie Zietlow, MS-CCC-SLP is a
Speech-language Pathologist based in Winneconne, Wisconsin. Mrs Kimberly Marie Zietlow is licensed to practice in Wisconsin (license number 820) and her current practice location is
233 S 3rd Ave, Winneconne, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 582-5803.
NPI number for Mrs Kimberly Marie Zietlow is 1053536664 and her current mailing address is 6445 Oak Dr, Amherst, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053536664.
Healthcare Provider's Profile
Full Name | Mrs Kimberly Marie Zietlow |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 233 S 3rd Ave, Winneconne, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053536664
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Kimberly Marie Zietlow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053536664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 820 (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. Mrs Kimberly Marie Zietlow 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 Kimberly Marie Zietlow, MS-CCC-SLP 6445 Oak Dr, Amherst, WI 54406-9189 Ph: (715) 824-6859 | Mrs Kimberly Marie Zietlow, MS-CCC-SLP 233 S 3rd Ave, Winneconne, WI 54986-9646 Ph: (920) 582-5803 |
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