Provider Demographics
NPI:1821119363
Name:KIGER, KELLY SUZANNE (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:SUZANNE
Last Name:KIGER
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:MISS
Other - First Name:KELLY
Other - Middle Name:SUZANNE
Other - Last Name:KIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CFY SLP
Mailing Address - Street 1:295 IRON ROCK RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15370-3840
Mailing Address - Country:US
Mailing Address - Phone:724-747-0385
Mailing Address - Fax:
Practice Address - Street 1:130 BILL GEORGE DR
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-8122
Practice Address - Country:US
Practice Address - Phone:724-627-3441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007999235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1011812080001OtherMASTER PROVIDER INDEX