Active NPIIndividual provider

Kaho Kracke, MA, CCC-SLP

Speech-Language Pathologist, in Stratford, Connecticut

NPI Number1760092043
Practice location
2900 Main St Ste 1D, Stratford, CT 06614-4946
Fax
203-375-4540
Last updated
December 22, 2022

Kaho Kracke is a Speech-Language Pathologist, based in Stratford, CT. Kaho Kracke practices in Stratford, CT and has the professional credentials of MA, CCC-SLP. The NPI Number for Kaho Kracke is 1760092043 and holds a License No. 006180 (CT). The current practice location address for Kaho Kracke is 2900 Main St Ste 1D, Stratford, CT 06614-4946 and can be reached out via phone at 203-378-0092 and via fax at 203-375-4540.

Provider Profile Details

NPI Number
1760092043
Provider Name
Kaho Kracke
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
2900 Main St Ste 1D, Stratford, CT 06614-4946
Phone Number
203-378-0092
Fax Number
203-375-4540
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Other Names
Kaho Shibata (Former Name)
Provider Enumeration Date
August 3, 2020
Last Update Date
December 22, 2022
Certification Date
December 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2900 Main St Ste 1D
Stratford, CT 06614-4946
Zip
06614-4946
Phone Number
203-378-0092
Fax Number
203-375-4540
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
1931 Black Rock Tpke
Fairfield, CT 06825-3506
City
Fairfield
State
CT
Zip
06825-3506
Phone Number
203-384-8681
Fax Number
203-384-0722

License Information

License Number
006180
License State
CT
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kaho Kracke, MA, CCC-SLP?

The NPI number of Kaho Kracke, MA, CCC-SLP is 1760092043. It was assigned on August 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Kaho Kracke, MA, CCC-SLP?

Kaho Kracke, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 006180.

Where does Kaho Kracke, MA, CCC-SLP practice?

The practice location is 2900 Main St Ste 1D, Stratford, CT 06614-4946. The office can be reached at 203-378-0092 (phone) or 203-375-4540 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760092043 directly on the NPPES registry website.

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