Provider Demographics
NPI:1295100014
Name:RICHEY, KRISTEN ALICE (MSE CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:ALICE
Last Name:RICHEY
Suffix:
Gender:F
Credentials:MSE CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 W 24TH ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-5331
Mailing Address - Country:US
Mailing Address - Phone:308-698-8018
Mailing Address - Fax:308-698-8035
Practice Address - Street 1:310 W 24TH ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-5331
Practice Address - Country:US
Practice Address - Phone:308-698-8018
Practice Address - Fax:308-698-8035
Is Sole Proprietor?:No
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1332235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist