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Contact Information

KELLI J KOEHNEN, M.S. CCC-SLP
34920 ENCHANTED PKWY S
FEDERAL WAY, WA98003
 Phone: 253-838-5878
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for KELLI J KOEHNEN · (Female)

NPI # 1558572800
Status Active
Credentials M.S. CCC-SLP
Entity Individual
Enumeration date 05/25/2007
Last updated 06/12/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # 60383367
  • WI License # 2712154
  • WI Medicaid 42571000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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