Provider Demographics
NPI:1952192452
Name:KILSDONK, GEORGE J (AUD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:J
Last Name:KILSDONK
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147280 WHITE BIRCH CT
Mailing Address - Street 2:
Mailing Address - City:MOSINEE
Mailing Address - State:WI
Mailing Address - Zip Code:54455-5738
Mailing Address - Country:US
Mailing Address - Phone:715-693-4599
Mailing Address - Fax:715-693-4599
Practice Address - Street 1:147280 WHITE BIRCH CT
Practice Address - Street 2:
Practice Address - City:MOSINEE
Practice Address - State:WI
Practice Address - Zip Code:54455-5738
Practice Address - Country:US
Practice Address - Phone:715-693-4599
Practice Address - Fax:715-693-4599
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI86-156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty