Provider Demographics
NPI:1861622938
Name:KILDEE, GINGER KAY (MS, CCC,SLP)
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:KAY
Last Name:KILDEE
Suffix:
Gender:F
Credentials:MS, CCC,SLP
Other - Prefix:
Other - First Name:GINGER
Other - Middle Name:KAY
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CF, SLP
Mailing Address - Street 1:2210 LELARAY ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-2220
Mailing Address - Country:US
Mailing Address - Phone:719-475-0477
Mailing Address - Fax:
Practice Address - Street 1:2210 LELARAY ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-2220
Practice Address - Country:US
Practice Address - Phone:719-475-0477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist