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General NPI Number Information
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NPI Number | 1447916457
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Entity Type | Individual
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Provider Name | KATHRYN MARIE GREER MS-CCC, SLP
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Gender | Female
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Dates
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Enumeration Date | 11/14/2021
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 750 BROADWAY ST
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City | BRANDENBURG
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State | KY
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Zip | 40108-1709
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Country | US
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Telephone | 270-422-7545
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Fax |
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Provider Business Mailing Address
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Address Line | 150 SCHOOL SIDE DR APT B
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City | BRANDENBURG
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State | KY
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Zip | 40108-8507
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Country | US
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Telephone | 270-317-3017
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 173339
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License Number State | KY
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