| Doctor Name: | NICOLE MARIE KALLO |
| NPI Number: | 1700070414 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | 100873 |
| Business Practice Address: | 882 S Fort Hood St Ste 1050 Killeen, TX - 765417433 |
| Business Phone Number: | 2545548100 |
| Business Fax Number: | 2545548142 |
| Mailing Address: | Po Box 10340, KILLEEN |
| State: | TX |
| Postal Code: | 765470340 |
| Phone Number: | 2545548100 |
| Fax Number: | |
| NPI Enumeration Date: | 09/05/2007 |
| NPI Last Update Date: | 12/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 100873 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |