Kaylee Jo Petersen

Speech-Language Pathologist · Gibson City, IL

Individual Active NPI

NPI number 1851069090

Practice location

902 N Church St
Gibson City, IL 60936-1075
Phone
(217) 784-4278

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NPI record

NPI
1851069090
Entity type
Individual (Type 1)
Enumeration date
September 2, 2021
Last updated
September 2, 2021
Certified
September 2, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

Mailing address

815 N Church St
Gibson City, IL 60936-1074

About Kaylee Petersen

Kaylee Jo Petersen is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 902 N Church St, Gibson City, IL 60936-1075. The NPI number 1851069090 was assigned on September 2, 2021 and the record was last updated on September 2, 2021.

Frequently asked questions

What is the NPI number of Kaylee Jo Petersen?

The NPI number is 1851069090.

What is the phone number of Kaylee Petersen?

The phone number listed for the practice location is (217) 784-4278.

Where is Kaylee Petersen located?

902 N Church St, Gibson City, IL 60936-1075.

What is the taxonomy code for Kaylee Petersen?

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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