Provider Demographics
NPI:1902473515
Name:SAMMETINGER, KAMI (MS CCC- SLP)
Entity Type:Individual
Prefix:
First Name:KAMI
Middle Name:
Last Name:SAMMETINGER
Suffix:
Gender:F
Credentials:MS CCC- SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 S 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-9029
Mailing Address - Country:US
Mailing Address - Phone:937-497-2200
Mailing Address - Fax:
Practice Address - Street 1:750 S 4TH AVE
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-9029
Practice Address - Country:US
Practice Address - Phone:937-497-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-10
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY266156235Z00000X
OHSP.14783235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist