KELSEY STILLMAN


Address: 22501 Chase Apt 5217, Aliso Viejo, CA 92656-7005
Phone: 9498421753

KELSEY STILLMAN (NPI# 1881013688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881013688
Entity Type Individual
Full Name KELSEY STILLMAN
Practice Address 22501 Chase Apt 5217
Aliso Viejo
CA 92656-7005
Practice Telephone 9498421753
Enumeration Date 2014-04-09
Last Update Date 2014-04-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
SPA2620 CA Speech, Language and Hearing Service Providers

Office Location

Street Address 22501 CHASE APT 5217
City ALISO VIEJO
State CA
Zip Code 92656-7005

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1942818042 Cynthia K Vu Pharmacist 5 Journey 140, Aliso Viejo, CA 92656 2020-07-15
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1407305253 Iman Ashlee Habbas Social Worker 5 Mareblu # 100, Aliso Viejo, CA 92656 2016-09-21
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1588027288 Shawn Kaye Internal Medicine 26671 Aliso Creek Rd Ste 206, Aliso Viejo, CA 92656 2016-03-30
1528464443 Lauren Harness Occupational Therapy Assistant 2 Enterprise Apt 11117, Aliso Viejo, CA 92656 2014-11-05
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

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Competitor

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City ALISO VIEJO
Zip Code 92656

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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