Provider Demographics
NPI:1467011312
Name:CROMER, KALEE (MS)
Entity Type:Individual
Prefix:
First Name:KALEE
Middle Name:
Last Name:CROMER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 CEDAR RIDGE CT APT A13
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-1261
Mailing Address - Country:US
Mailing Address - Phone:402-587-1515
Mailing Address - Fax:
Practice Address - Street 1:800 STOEGER DR
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4404
Practice Address - Country:US
Practice Address - Phone:308-382-5440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE703235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist