Provider Demographics
NPI:1396226072
Name:KIHLE, GRETCHEN K
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:K
Last Name:KIHLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GRETCHEN
Other - Middle Name:K
Other - Last Name:RINTALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1025 S 18TH ST
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-6450
Mailing Address - Country:US
Mailing Address - Phone:361-522-8293
Mailing Address - Fax:
Practice Address - Street 1:419 S ELM ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-6085
Practice Address - Country:US
Practice Address - Phone:361-348-3553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104864235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist