SearchWisconsin235Z00000X

Kaejan Pederson, MS CCC-SLP

NPI 1124330626 · on the registry since 2010 · sole proprietor

Practice

Address
320 N 7th St
Cornell, WI 54732
Phone
(715) 239-0440
Fax
(715) 239-6608
Organisation at this address
Nsh Cornell Llc
Extendicare Homes, Inc.
Fmg North 7th Street Wisconsin Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin