Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathy Kelley Booziotis

Individual provider Speech-Language Pathologist · NPI 1861901647

Kathy Kelley Booziotis is a Speech-Language Pathologist in Carbondale, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
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Practice location Address checks out

4033 S Illinois Ave
Carbondale, IL 62903-8375
Phone: (618) 529-4151
Fax: (618) 529-4154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146002646 (IL)

Record details

NPI number1861901647
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2017
Last updated in NPPESSeptember 25, 2017

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