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NPI Code Detail

MEDICARE: KAREN M CROW CCC-SLP

MEDICARE: KAREN M CROW 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
1235Z00000XSpeech-Language Pathologist263271KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902521248
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN M CROW CCC-SLP
Provider Business Mailing Address
First Line : 9931 FOREST GREEN BLVD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-5123
Country : US
Telephone Number : 502-588-0750
Fax Number : 502-588-7826
Provider Business Practice Location Address
First Line : 9931 FOREST GREEN BLVD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-5123
Country : US
Telephone Number : 502-588-0750
Fax Number : 502-588-7826
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2022
Last Update Date : 01/31/2023

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Directions to “ KAREN M CROW CCC-SLP” Practice Location

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