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NPI Code Detail

MEDICARE: KAITLYN BRYN CAREY

MEDICARE:   KAITLYN BRYN CAREY
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 PathologistO1-0012404DE

General Provider Information

NPI Number : 1558101642
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN BRYN CAREY
Provider Business Mailing Address
First Line : 3131 MEETINGHOUSE RD APT S20
Second Line :
City : UPPER CHICHESTER
State : PA
Zip : 19061-2985
Country : US
Telephone Number : 727-310-9363
Fax Number :
Provider Business Practice Location Address
First Line : 2220 SHIPLEY RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19803-2306
Country : US
Telephone Number : 302-479-1621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2024
Last Update Date : 10/05/2024

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Directions to “ KAITLYN BRYN CAREY ” Practice Location

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