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NPI Code Detail

MEDICARE: KRISTI WHITING B.S., SLP-A

MEDICARE: KRISTI WHITING B.S., SLP-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language Assistant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
132936OTHERCOSTATE OF COLORADO SLPA CERTIFICATION

General Provider Information

NPI Number : 1023343514
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTI WHITING B.S., SLP-A
Provider Business Mailing Address
First Line : 1885 CHERRYVILLE RD
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80121-1504
Country : US
Telephone Number : 303-204-5188
Fax Number : 303-761-9491
Provider Business Practice Location Address
First Line : 1885 CHERRYVILLE RD
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80121-1504
Country : US
Telephone Number : 303-204-5188
Fax Number : 303-761-9491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2009
Last Update Date : 07/08/2013

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