MEDICARE: MRS. KATHRYN HALE ALVERSON M.S. CCC-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
1	235Z00000X	Speech-Language Pathologist	165474	KY

General Provider Information

NPI Number	:	1639536808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHRYN HALE ALVERSON M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	61 COVERT PL
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-1075
Country	:	US
Telephone Number	:	251-689-4482
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 COVERT PL
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-1075
Country	:	US
Telephone Number	:	251-689-4482
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2016
Last Update Date	:	05/26/2025

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