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NPI Code Detail

MEDICARE: KAYLA HOPE MARTINEZ

MEDICARE: KAYLA HOPE MARTINEZ
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 Pathologist

General Provider Information

NPI Number : 1801524442
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA HOPE MARTINEZ
Provider Business Mailing Address
First Line : PO BOX 976
Second Line :
City : CHIMAYO
State : NM
Zip : 87522-0976
Country : US
Telephone Number : 505-927-8552
Fax Number :
Provider Business Practice Location Address
First Line : 405 HUNTER ST
Second Line :
City : ESPANOLA
State : NM
Zip : 87532-2656
Country : US
Telephone Number : 505-367-2231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2022
Last Update Date : 08/11/2022

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Directions to “ KAYLA HOPE MARTINEZ ” Practice Location

Language Start Address Practice Location
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.

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