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NPI Code Detail

MEDICARE: KATHRYN GILBERT

MEDICARE:   KATHRYN  GILBERT
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
12355S0801XSpeech-Language AssistantSLPA 8488AZ
2103K00000XBehavior Analyst1-22-61700UT

General Provider Information

NPI Number : 1003218702
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN GILBERT
Provider Business Mailing Address
First Line : 6705 WHITE HORSE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29611-2503
Country : US
Telephone Number : 704-654-8599
Fax Number : 980-938-6088
Provider Business Practice Location Address
First Line : 6705 WHITE HORSE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29611-2503
Country : US
Telephone Number : 704-654-8599
Fax Number : 980-938-6088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2014
Last Update Date : 07/10/2024

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Directions to “ KATHRYN GILBERT ” Practice Location

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