| Nicole Aimee Kachinosky, CCC-SLP | |
|
3860 Dobie Rd, Okemos, MI 48864-3704 | |
| (517) 381-6060 | |
| Not Available |
| Full Name | Nicole Aimee Kachinosky |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3860 Dobie Rd, Okemos, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831673813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101005099 (Michigan) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942829064 PECOS PAC ID: 2163339722 Enrollment ID: O20200618000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Aimee Kachinosky, CCC-SLP 3850 Sugarbush Dr, Howell, MI 48843-8648 Ph: (313) 608-8814 | Nicole Aimee Kachinosky, CCC-SLP 3860 Dobie Rd, Okemos, MI 48864-3704 Ph: (517) 381-6060 |
Jenna Marie Burke, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5211 Marsh Rd, Okemos, MI 48864 Phone: 517-319-1400 | |
Olivia Grace Roberts, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3860 Dobie Rd, Okemos, MI 48864 Phone: 517-381-6100 | |
Elissa Rae Besson, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2378 Woodlake Dr Ste 280, Okemos, MI 48864 Phone: 517-706-0421 | |
Stacy Kramer, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5211 Marsh Rd, Okemos, MI 48864 Phone: 517-319-1400 | |
Andrea Marie-kujawa Loomis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2378 Woodlake Dr Ste 280, Okemos, MI 48864 Phone: 517-706-0421 | |
Brighty Sara Koduvath, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 5211 Marsh Rd, Okemos, MI 48864 Phone: 517-319-1400 | |
Cassandra Ann Richmond, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 3860 Dobie Rd, Okemos, MI 48864 Phone: 517-381-6100 |