| Kaelan Mylo Henman, SLP | |
|
1424 S Main St, Adrian, MI 49221-4309 | |
| (517) 312-1712 | |
| (517) 312-1711 |
| Full Name | Kaelan Mylo Henman |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 1424 S Main St, Adrian, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649813130 | NPI | - | NPPES |
| 7101005768 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101005768 (* (Not Available)) | Primary |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaelan Mylo Henman, SLP 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | Kaelan Mylo Henman, SLP 1424 S Main St, Adrian, MI 49221-4309 Ph: (517) 312-1712 |
Stacie Griffith, M.S., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1200 Corporate Dr, Adrian, MI 49221 Phone: 517-264-2790 | |
Mrs. Emily Grace Corfman, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 777 Kimole Ln, Suite 110, Adrian, MI 49221 Phone: 517-265-0950 | |
Miss Shelby L Deshetler, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1277 E Siena Heights Dr, Adrian, MI 49221 Phone: 175-266-3641 | |
Mrs. Emily Grace Hendrixq, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 730 Kimole Ln, Adrian, MI 49221 Phone: 517-263-6771 | |
Sydney Jade Woodman, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1424 S Main St, Adrian, MI 49221 Phone: 517-312-1712 Fax: 517-312-1711 | |
Megan Welker, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 700 Lakeshire Trl, Adrian, MI 49221 Phone: 517-263-0781 | |
Carolyn Bloomburg, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1424 S Main St Ste 2, Adrian, MI 49221 Phone: 517-312-1711 |