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NPI Code Detail

MEDICARE: KAVUNAA EDWARDS

MEDICARE:   KAVUNAA  EDWARDS
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1730074097
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAVUNAA EDWARDS
Provider Business Mailing Address
First Line : 1415 SALEM AVE
Second Line :
City : DAYTON
State : OH
Zip : 45406-4941
Country : US
Telephone Number : 937-951-2022
Fax Number :
Provider Business Practice Location Address
First Line : 1415 SALEM AVE
Second Line :
City : DAYTON
State : OH
Zip : 45406-4941
Country : US
Telephone Number : 937-951-2022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2025
Last Update Date : 06/09/2025

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Directions to “ KAVUNAA EDWARDS ” Practice Location

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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.