Benjamin Josiah Kittle

Speech-Language Pathologist · Rockford, IL

Individual Active NPI

NPI number 1700455896

Practice location

3470 N Alpine Rd
Rockford, IL 61114-4802
Phone
(815) 877-1441

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NPI record

NPI
1700455896
Entity type
Individual (Type 1)
Enumeration date
June 22, 2021
Last updated
June 22, 2021
Certified
June 22, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 242006254 IL

Mailing address

3915 Landstrom Rd
Rockford, IL 61114-6132
Phone
(815) 677-0062

Other practice locations (1)

  • 4405 Highcrest Rd, Rockford, IL 61107-1452 · (815) 229-1999

About Benjamin Kittle

Benjamin Josiah Kittle is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 3470 N Alpine Rd, Rockford, IL 61114-4802. The NPI number 1700455896 was assigned on June 22, 2021 and the record was last updated on June 22, 2021.

Benjamin Kittle lists a license in the registry: #242006254 (IL) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Josiah Kittle?

The NPI number is 1700455896.

What is the phone number of Benjamin Kittle?

The phone number listed for the practice location is (815) 877-1441.

Where is Benjamin Kittle located?

3470 N Alpine Rd, Rockford, IL 61114-4802.

What is the taxonomy code for Benjamin Kittle?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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