| Doctor Name: | KRISTEN LYNNE KISELICA |
| NPI Number: | 1194851170 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSCCC-SLP |
| License Number: | SP8491 |
| Business Practice Address: | 3122 Wilmington Pike Kettering, OH - 454294004 |
| Business Phone Number: | 9372999337 |
| Business Fax Number: | 9372999227 |
| Mailing Address: | 35 S Saint Clair St Apt 526, DAYTON |
| State: | OH |
| Postal Code: | 454022179 |
| Phone Number: | 9376480451 |
| Fax Number: | |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP8491 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |