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NPI Code Detail

MEDICARE: MRS. BARBARA KATHERINE KEIB-NELSON CCC-SLP, NYS/L

MEDICARE: MRS. BARBARA KATHERINE KEIB-NELSON CCC-SLP, NYS/L
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 Pathologist007710-1NY

General Provider Information

NPI Number : 1649588278
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA KATHERINE KEIB-NELSON CCC-SLP, NYS/L
Provider Business Mailing Address
First Line : 7755 ROUTE 83
Second Line :
City : SOUTH DAYTON
State : NY
Zip : 14138-9633
Country : US
Telephone Number : 716-988-3291
Fax Number : 716-988-3864
Provider Business Practice Location Address
First Line : 7755 ROUTE 83
Second Line :
City : SOUTH DAYTON
State : NY
Zip : 14138-9633
Country : US
Telephone Number : 716-988-3291
Fax Number : 716-988-3864
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2010
Last Update Date : 09/16/2010

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Directions to “ MRS. BARBARA KATHERINE KEIB-NELSON CCC-SLP, NYS/L” Practice Location

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