Mrs Kelley Suzanne Bumgardaner, MA, CCC-SLP - Speech-Language Pathologist in Desloge, MO

Mrs Kelley Suzanne Bumgardaner, MA, CCC-SLP is a Speech-language Pathologist based in Desloge, Missouri. Mrs Kelley Suzanne Bumgardaner is licensed to practice in Missouri (license number MO01965) and her current practice location is 801 Brim St, Desloge, Missouri. She can be reached at her office (for appointments etc.) via phone at (573) 431-0223.

NPI number for Mrs Kelley Suzanne Bumgardaner is 1720154248 and her current mailing address is Po Box 625, 203 Kingsbury Blvd., Fredericktown, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720154248.

Contact Information

Mrs Kelley Suzanne Bumgardaner, MA, CCC-SLP
801 Brim St,
Desloge, MO 63601-3441
(573) 431-0223
(573) 431-0251

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kelley Suzanne Bumgardaner
GenderFemale
SpecialitySpeech-language Pathologist
Location801 Brim St, Desloge, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720154248
  • Provider Enumeration Date: 11/27/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Kelley Suzanne Bumgardaner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720154248NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist MO01965 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelley Suzanne Bumgardaner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kelley Suzanne Bumgardaner, MA, CCC-SLP
Po Box 625, 203 Kingsbury Blvd.,
Fredericktown, MO 63645-0625

Ph: (573) 783-7043
Mrs Kelley Suzanne Bumgardaner, MA, CCC-SLP
801 Brim St,
Desloge, MO 63601-3441

Ph: (573) 431-0223

Reviews and Comments


Speech-Language Pathologist in Desloge, MO

Stephanie Catherine Hughes, M.A., CF-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 801 Brim St, Desloge, MO 63601
Phone: 573-431-0223    
Mrs. Kathryn Marie Mcdowell, MA,CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 801 Brim St, Desloge, MO 63601
Phone: 573-431-0223    Fax: 573-431-0251
Hannah Marie Jackson, MA CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 801 Brim St, Desloge, MO 63601
Phone: 573-431-0223    
Mrs. Nancy Diana Smith, M.A.
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 210 S Harding St, Desloge, MO 63601
Phone: 573-701-2476    
Tessa Dunivan,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 801 Brim St, Desloge, MO 63601
Phone: 573-431-0223    

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