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NPI Code Detail

MEDICARE: KYMBERLY LOREN GUTIERREZ MA, CF-SLP

MEDICARE:   KYMBERLY LOREN GUTIERREZ  MA, CF-SLP
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 PathologistSA24234FL

General Provider Information

NPI Number : 1144042193
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYMBERLY LOREN GUTIERREZ MA, CF-SLP
Provider Business Mailing Address
First Line : 730 SAND LAKE RD STE 266
Second Line :
City : ORLANDO
State : FL
Zip : 32809-7748
Country : US
Telephone Number : 321-445-1287
Fax Number :
Provider Business Practice Location Address
First Line : 730 SAND LAKE RD STE 266
Second Line :
City : ORLANDO
State : FL
Zip : 32809-7748
Country : US
Telephone Number : 321-445-1287
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2024
Last Update Date : 01/09/2026

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Directions to “ KYMBERLY LOREN GUTIERREZ MA, CF-SLP” Practice Location

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