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NPI Code Detail

MEDICARE: KIRSTEN CARR

MEDICARE: KIRSTEN CARR
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
1235Z00000XSpeech-Language Pathologist7923OH

General Provider Information

NPI Number : 1043610363
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRSTEN CARR
Provider Business Mailing Address
First Line : 2019 E FRONT ST
Second Line :
City : LOGAN
State : OH
Zip : 43138-9678
Country : US
Telephone Number : 740-385-1171
Fax Number :
Provider Business Practice Location Address
First Line : 2019 E FRONT ST
Second Line :
City : LOGAN
State : OH
Zip : 43138-9678
Country : US
Telephone Number : 740-385-1171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2014
Last Update Date : 08/25/2014

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Directions to “ KIRSTEN CARR ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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