Storm E Kelso, MA CCC-SLP is a
Speech-language Pathologist based in Vassalboro, Maine. Storm E Kelso is licensed to practice in Maine (license number SP1609) and her current practice location is
32 Wolf Rd, Vassalboro, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 299-5958.
NPI number for Storm E Kelso is 1679630255 and her current mailing address is 32 Wolf Rd, Vassalboro, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679630255.
Healthcare Provider's Profile
| Full Name | Storm E Kelso |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 32 Wolf Rd, Vassalboro, Maine |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679630255
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 04/07/2009
Medical Identifiers
Medical identifiers for Storm E Kelso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679630255 | NPI | - | NPPES |
| 432479600 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SP1609 (Maine) | 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. Storm E Kelso 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 |
|---|
Storm E Kelso, MA CCC-SLP
32 Wolf Rd,
Vassalboro, ME 04989-4231
Ph: (207) 299-5958 | Storm E Kelso, MA CCC-SLP
32 Wolf Rd,
Vassalboro, ME 04989-4231
Ph: (207) 299-5958 |
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